Organization Active NPI

Diversity Haven LLC

Doing business as N/a

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1942097910
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVERSITY HAVEN LLC
Doing business as
N/a
Practice address
304 Nugget CT
Fayetteville, NC 28311-6832
Phone
(910) 689-7032
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Marsha Paulette Hill, MSWNPI 1548987829
Title
Organizer
Phone
(910) 689-7032

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

304 Nugget CT
Fayetteville, NC 28311-6832

Mailing address

304 Nugget CT
Fayetteville, NC 28311-6832
Phone (910) 689-7032

Other names 1

  • N/A Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1942097910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NUGGET CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116832",
            "telephone_number": "910-689-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NUGGET CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116832",
            "telephone_number": "910-689-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "910-689-7032",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.