Word of Life Outreach of Cape Fear, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WORD OF LIFE OUTREACH OF CAPE FEAR, INC.

Practice address

10225 Blackwell Rd SE
Leland, NC 28451-8515

Phone

(910) 371-5300

Fax

(910) 371-5302

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery A Johnson, BA

Title

Ceo

Phone

(910) 547-8792

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Atlas at Trinity3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Word of Life Ourtreach of Cape Fear, Inc.

  • Community/Behavioral Health Agency
  • Leland, NC
  • NPI 1912141219
  NPD tax ID
• Word of Life Outreach of Cape Fear Inc

  • Mental Health Counselor
  • Leland, NC
  • NPI 1104961861
  NPD tax ID

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1003042904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510717",
            "telephone_number": "910-371-5300",
            "fax_number": "910-371-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 BLACKWELL RD SE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284518515",
            "telephone_number": "910-371-5300",
            "fax_number": "910-371-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD OF LIFE OUTREACH OF CAPE FEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-547-8792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301346H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Keith Woodburn
• Word of Life Ourtreach of Cape Fear, Inc.
• Word of Life Outeach, Inc
• Word of Life Outreach of Cape Fear Inc
• Word of Life Outreach of Cape Fear, Inc
• Skylar Young, RN
• Zak Behavioral Healthcare PLLC
• Allelia Koehler Cesa Zalvin
• Genevieve Zock
• David William Zub, M.D.

• Community/Behavioral Health Agency in Leland, NC
• Providers in Leland, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.