DIVERSE FAMILY SERVICES (NPI# 1780985523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780985523 |
| Entity Type | Organization |
| Organization Name | DIVERSE FAMILY SERVICES |
| Practice Address |
2402 S Miami Blvd Ste 108 Durham NC 27703-4927 |
| Practice Telephone | 9195728833 |
| Practice Fax Number | 9195720044 |
| Mailing Telephone | 9195728833 |
| Mailing Fax Number | 9195720044 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MS. KRISTIN M JONES (CEO) |
| Authorized Official Telephone | 9195728833 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302285V | 05 | |
| NC | 8303051R | 05 | |
| NC | 8302285H | 05 | |
| NC | 5914106 | 05 | |
| NC | 6006871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063690246 | Diverse Family Services | Exclusive Provider Organization | 3020 Pickett Rd, Suite 135, Durham, NC 27705-6000 | 2008-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Diverse Family Services LLC | 2402 S Miami Blvd Ste 108, Durham, NC 27703-4928 |
| Virginia Business Entities | Diverse Family Services LLC | 300 Ringgold Industrial Pkwy Ste 122, Danville, Virginia 24540 |
| Street Address |
2402 S MIAMI BLVD STE 108 |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280885 | Kemba Josiah | Counselor | 2402 S Miami Blvd, Durham, NC 27703-4927 | 2017-08-08 |
| 1568848703 | Deidra Javeda Smith | Marriage & Family Therapist | 2402 S Miami Blvd, Durham, NC 27703-4927 | 2015-08-10 |
| 1528452885 | Elizabeth Cox-franklin | Counselor | 2402 S Miami Blvd, Suite 108, Durham, NC 27703-4927 | 2015-03-25 |
| 1992130843 | Michelle Dubois | Counselor | 2402 S Miami Blvd, Suite 108, Durham, NC 27703-4927 | 2013-09-11 |
| 1477987857 | Enhancement Health Care, Inc. | Clinic/Center | 2402 S Miami Blvd, Durham, NC 27703-4927 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578667 | Alternative Choice Home Care Agency, LLC | Community/Behavioral Health | 800 N Mangum St Ste A-i, Durham, NC 27701-2260 | 2020-04-29 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1457916132 | Kalvin Franklin Jr. | Community/Behavioral Health | 2632 Cherry Creek Dr, Durham, NC 27703-5746 | 2019-05-07 |
| 1356804108 | Komkare Empowerment Center | Community/Behavioral Health | 1058 W Club Blvd Ste 232, Durham, NC 27701-1149 | 2019-04-09 |
| 1952883431 | Willow Oak Therapy, Pllc | Community/Behavioral Health | 3622 Lyckan Pkwy Ste 6006, Durham, NC 27707-2539 | 2018-08-31 |
| 1033634886 | Liasions Community Care | Community/Behavioral Health | 304a N Driver St, Durham, NC 27703-3058 | 2017-08-12 |
| 1447785134 | Nathaniel David Sawyer | Community/Behavioral Health | 5731 N Roxboro Rd, Durham, NC 27712-1427 | 2017-05-01 |
| 1376075556 | Baart Community Healthcare | Community/Behavioral Health | 800 N Mangum St Ste 300&400, Durham, NC 27701-2260 | 2017-03-28 |
| 1457807968 | Therapeutic Interventions Pllc | Community/Behavioral Health | 1058 W Club Blvd Ste 602, Durham, NC 27701-1159 | 2016-08-25 |
| 1912355298 | Harmony Healthcare Services, LLC | Community/Behavioral Health | 4004 Ben Franklin Blvd Ste C, Durham, NC 27704-2384 | 2016-05-27 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.