Organization Active NPI

Golden Gate Adult Rehabilitation Ministry

  • Recovery Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1164043196
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
GOLDEN GATE ADULT REHABILITATION MINISTRY
Practice address
1128 Reverend CBT Smith St
Dallas, TX 75203-1536
Phone
(214) 943-5010
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Obie Bussey
Title
Program Director
Phone
(214) 943-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

1128 Reverend CBT Smith St
Dallas, TX 75203-1536

Mailing address

1128 Reverend CBT Smith St
Dallas, TX 75203-1536
Phone (214) 943-5010

Other names 1

  • Adult Rehabilitation Ministries (ARM) Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address director@armdallas.org

National Provider Directory

National Provider Directory

Locations

1128 Reverend Cbt Smith St
Dallas, TX 75203
Phone (214) 942-5545

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1164043196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 REVEREND CBT SMITH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031536",
            "telephone_number": "214-943-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 REVEREND CBT SMITH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031536",
            "telephone_number": "214-943-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE ADULT REHABILITATION MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "OBIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "214-943-5010"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "director@armdallas.org",
            "affiliation": "N",
            "endpointDescription": "Program Director Email",
            "address_1": "1128 Reverend Cbt Smith St",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752031536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adult Rehabilitation Ministries (ARM)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.