New Birth in Christ Minisrty

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

NEW BIRTH IN CHRIST MINISRTY

Practice address

6932 Wofford Ave
Dallas, TX 75227-5836

Phone

(972) 966-9980

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Ethel S. George, BISHOP

Title

Pastor

Phone

(972) 966-9980

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1114277753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 LINFIELD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166621",
            "telephone_number": "972-966-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 WOFFORD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752275836",
            "telephone_number": "972-966-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BIRTH IN CHRIST MINISRTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "972-966-9980",
        "authorized_official_credential": "BISHOP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.