NPIMap

Organization Active NPI

Diyah'S Home Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Raeford, NC
National Provider Identifier
1801079397
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
DIYAH'S HOME INC
Practice address
7403 Laurinburg Rd
Raeford, NC 28376-7296
Phone
(901) 904-6699
Fax
(901) 904-1879
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
David Haqq
Title
Director
Phone
(910) 904-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

7403 Laurinburg Rd
Raeford, NC 28376-7296

Mailing address

PO Box 2744
Fayetteville, NC 28302-2744
Phone (910) 904-6699

Other identifiers 2

IdentifierTypeStateIssuer
8301895MedicaidNC
8301895BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Diyah'S Home Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

7403 Laurinburg Rd
Raeford, NC 28376
Phone (901) 904-6699

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1801079397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2744",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283022744",
            "telephone_number": "910-904-6699",
            "fax_number": "910-904-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 LAURINBURG RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767296",
            "telephone_number": "901-904-6699",
            "fax_number": "901-904-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYAH'S HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "HAQQ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-904-6699"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301895",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301895B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.