NPIMap

Organization Active NPI

Diyah'S Home Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1982701900
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-026-583 Issued in NC
Legal business name
DIYAH'S HOME INC
Practice address
218 University Ave
Fayetteville, NC 28301-3442
Phone
(910) 497-8599
Fax
(910) 436-5928
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
David Haqq
Title
Director/Owner
Phone
(910) 978-8599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-026-583 NC Primary

Addresses

Primary practice location

218 University Ave
Fayetteville, NC 28301-3442

Mailing address

PO Box 2744
Fayetteville, NC 28302-2744
Phone (910) 497-8599

Other identifiers 1

IdentifierTypeStateIssuer
6603270MedicaidNC

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1982701900",
    "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": "910-497-8599",
            "fax_number": "910-436-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 UNIVERSITY AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013442",
            "telephone_number": "910-497-8599",
            "fax_number": "910-436-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYAH'S HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "HAQQ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-978-8599"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-026-583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603270",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 29, 2007; 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.