NPI Code Detail JSON Logo

1245897867 NPI number — GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER

NPI Number: 1245897867
Health Care Provider/Practitioner: GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER

Information about “1245897867” NPI (GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER) exists in 1245897867 in HTML format HTML  |  1245897867 in plain Text format TXT  |  1245897867 in PDF (Portable Document Format) PDF  |  1245897867 in an XML format XML  formats.

NPI Number : 1245897867 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245897867",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1759 COUNTY ROAD 486",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAYTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77535-7968",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-830-0511",
    "MailingAddressFaxNumber": "281-667-3116",
    "FirstLinePracticeLocationAddress": "1759 COUNTY ROAD 486",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77535-7968",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-830-0511",
    "PracticeLocationAddressFaxNumber": "281-667-3116",
    "EnumerationDate": "05/20/2019",
    "LastUpdateDate": "01/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHEPPARD",
    "AuthorizedOfficialFirstName": "ANDROS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SR PASTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "281-830-0511",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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