Organization Active NPI

Diversability Inc.

  • Developmentally Disabled Services Day Training Agency
  • Bend, OR
National Provider Identifier
1457893893
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DIVERSABILITY INC.
Practice address
1440 NW Cumberland Ave
Bend, OR 97703-3119
Phone
(541) 678-2704
NPI assigned
Nov 16, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Hamer, MS, NCCNPI 1700146073
Title
Executive Director
Phone
(541) 678-2704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X OR Primary

Addresses

Primary practice location

1440 NW Cumberland Ave
Bend, OR 97703-3119

Mailing address

1440 NW Cumberland Ave
Bend, OR 97703-3119
Phone (541) 678-2704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1457893893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NW CUMBERLAND AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033119",
            "telephone_number": "541-678-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 NW CUMBERLAND AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033119",
            "telephone_number": "541-678-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSABILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-678-2704",
        "authorized_official_credential": "MS, NCC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.