NPI Code Detail JSON Logo

1407082977 NPI number — NEW FOUNDATION 180 OUTREACH MINISTRY

NPI Number: 1407082977
Health Care Provider/Practitioner: NEW FOUNDATION 180 OUTREACH MINISTRY

Information about “1407082977” NPI (NEW FOUNDATION 180 OUTREACH MINISTRY) exists in 1407082977 in HTML format HTML  |  1407082977 in plain Text format TXT  |  1407082977 in PDF (Portable Document Format) PDF  |  1407082977 in an XML format XML  formats.

NPI Number : 1407082977 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407082977",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEW FOUNDATION 180 OUTREACH MINISTRY",
    "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": "22319 LA SEINE ST APT 301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48075-4044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-752-1279",
    "MailingAddressFaxNumber": "245-855-9624",
    "FirstLinePracticeLocationAddress": "22319 LA SEINE ST APT 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48075-4044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-752-1279",
    "PracticeLocationAddressFaxNumber": "245-855-9624",
    "EnumerationDate": "06/10/2009",
    "LastUpdateDate": "06/10/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROBINSON",
    "AuthorizedOfficialFirstName": "EDWARD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-752-1279",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251V00000X",
        "TaxonomyName": "Voluntary or Charitable Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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