Diakonia, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

DIAKONIA, INC.

Doing business as

Achieve Residential Center

Practice address

5589 N Riverside Ave
Rialto, CA 92377-3967

Phone

(909) 873-9248

NPI assigned

Jan 26, 2023

Organization subpart

Yes

Parent organization

DIAKONIA INC.As reported in NPPES

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

Authorized official

Name

Tiffany Merritt

Title

Administrator

Phone

(909) 278-4312

Specialties & licenses 1

Addresses

Other names 1

• Achieve Residential Center Doing business as

Tax ID family

Diakonia Inc4 organizations share this tax ID, including this one

Part of

Diakonia Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Diakonia, Inc.

  dba Maywright Boys Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rialto, CA
  • NPI 1104522119
  NPD tax ID
• Diakonia, Inc.

  dba Home of Excellence

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rialto, CA
  • NPI 1326753708
  NPD tax ID
• Diakonia, Inc.

  dba Achieve Residential Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rialto, CA
  • NPI 1518462530
  NPD tax ID

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1679289318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773967",
            "telephone_number": "909-873-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773967",
            "telephone_number": "909-873-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKONIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAKONIA INC.",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-278-4312"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Residential Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eunice Ezinne Diabuah
• Diakonia Incorporation
• Diakonia, Inc. (Maywright Boys Home)
• Diakonia, Inc. (Home of Excellence)
• Diakonia, Inc. (Achieve Residential Center)
• Diana Ashouri MD Endocrinology & Weight Loss Medical Corporation
• Mia Diaz
• Silvia Diaz I
• Nathaniel Custodio Diwa
• Jordan Dobbin, DDS

• Emotionally Disturbed Childrens' Residential Treatment Facility in Rialto, CA
• Providers in Rialto, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.