NPIMap

Organization Active NPI

My Father's House Inc., Prenatal & Resource Center

Doing business as International Gospel Fellowship

  • Case Management Agency
  • Martinsburg, WV
National Provider Identifier
1083900120
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MY FATHER'S HOUSE INC., PRENATAL & RESOURCE CENTER
Doing business as
International Gospel Fellowship
Practice address
101 Medical CT Ste 212
Martinsburg, WV 25401-3854
Phone
(304) 885-0017
Fax
(304) 932-0831
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
FULL GOSPEL OF CHRIST FELLOWSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Felicia Shantell Stevenson
Title
Executive Director
Phone
(304) 240-6339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

101 Medical CT Ste 212
Martinsburg, WV 25401-3854

Mailing address

101 Medical Court, Suite 212
Martinsburg, WV 25401
Phone (304) 885-0017

Other names 1

  • International Gospel Fellowship Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Internantional Gospel Fellowship2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1083900120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL COURT, SUITE 212",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-885-0017",
            "fax_number": "304-932-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL CT STE 212",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013854",
            "telephone_number": "304-885-0017",
            "fax_number": "304-932-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FATHER'S HOUSE INC., PRENATAL & RESOURCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULL GOSPEL OF CHRIST FELLOWSHIP",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "SHANTELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-240-6339",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Gospel Fellowship",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.