Joseph Storehouse of Florida Restoration Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1258AD488301 Issued in FL

Legal business name

JOSEPH STOREHOUSE OF FLORIDA RESTORATION CENTER

Doing business as

Consuming Fire Deliverance inc

Practice address

1027 9TH St W
Bradenton, FL 34205-7330

Phone

(941) 708-3030

Fax

(941) 708-3838

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alphonso Davis

Title

Ceo/Liason

Phone

(941) 708-3030

Specialties & licenses 2

Addresses

Other names 1

• Consuming Fire Deliverance inc Doing business as

Locations

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1043523392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 9TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057330",
            "fax_number": "941-708-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 9TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057330",
            "telephone_number": "941-708-3030",
            "fax_number": "941-708-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH STOREHOUSE OF FLORIDA RESTORATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "CEO/LIASON",
        "authorized_official_telephone_number": "941-708-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "1258AD488301",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consuming Fire Deliverance inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Dawn Jordan
• Jorge E. Alvarez, MD, PA (OBGYN Womens Centre)
• Jorge L Hernandez MD PA
• Jose F Estigarribia MD Fics PA
• Jose F Polanco MD PA
• Joseph TM Placheril
• Sanjeev Joseph, MSPT
• Sharon Maria Joseph
• Andrew Josephson, MD
• Sunita Joshi, DDS

• Mental Illness Community Based Residential Treatment Facility in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.