Active NPI
Jerry L Ivery Ministries Inc
Doing business as Urban Family Ministries
- Substance Use Disorder Rehabilitation Clinic/Center
- Memphis, TN
National Provider Identifier
1073249637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- JERRY L IVERY MINISTRIES INC
- Doing business as
- Jerry L Ivery Ministries Inc
Urban Family Ministries - Practice address
- 709 Keel Ave
Memphis, TN 38107-2509 - Phone
- (901) 438-7382
- NPI assigned
- Jul 26, 2022
- Last updated
- Jul 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry L Ivery
- Title
- Executive Director
- Phone
- (901) 438-7382
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Lodging Provider | 177F00000X | NU | ||
| Case Management Agency | 251B00000X | NU | ||
| Voluntary or Charitable Agency | 251V00000X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Rehabilitation Clinic/Center | 261QR0400X | NU | ||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | NU | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary | |
| Recovery Care Clinic/Center | 261QR0800X | NU | ||
| Meals Provider | 174200000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | ||
| Religious Nonmedical Health Care Institution | 282J00000X | NU |
Addresses
Primary practice location
709 Keel Ave
Memphis, TN 38107-2509
Mailing address
709 Keel Ave
Memphis, TN 38107-2509
Phone (901) 438-7382
Other names 2
- JERRY L IVERY MINISTRIES INC
- Urban Family Ministries
National Provider Directory
National Provider DirectoryLocations
709 Keel Ave
Memphis, TN 38107
Phone (901) 438-7382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1073249637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 KEEL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381072509",
"telephone_number": "901-438-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 KEEL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381072509",
"telephone_number": "901-438-7382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY L IVERY MINISTRIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "IVERY",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "901-438-7382"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282J00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Health Care Institution",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JERRY L IVERY MINISTRIES INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Urban Family Ministries",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.