A Diverse Family Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

A DIVERSE FAMILY INC.

Practice address

1412 Main St Ste 2500
Dallas, TX 75202-4803

Phone

(210) 379-9899

NPI assigned

Apr 16, 2020

Last updated

Sep 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jai Gillard

Title

Ceo

Phone

(210) 379-9899

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1881214161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6788 LAKEFRONT DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546831",
            "telephone_number": "210-379-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MAIN ST STE 2500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024803",
            "telephone_number": "210-379-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIVERSE FAMILY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "GILLARD",
        "authorized_official_first_name": "JAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-379-9899"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "home",
            "address_1": "6788 Lakefront Dr",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750546831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Developmental Disabilities Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.