Sunrise Haven Ministry Church 1

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

SUNRISE HAVEN MINISTRY CHURCH 1

Practice address

56 Midland St
Highland Park, MI 48203-2684

Phone

(313) 784-8077

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gary M Sam

Title

Director

Phone

(313) 784-8077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1033446091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MIDLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032684",
            "telephone_number": "313-784-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MIDLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032684",
            "telephone_number": "313-784-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HAVEN MINISTRY CHURCH 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-784-8077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.