Organization Active NPI

Lamb of God Ministries Incorporated

Doing business as Lamb of God Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Okeechobee, FL
National Provider Identifier
1174815583
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1947AD975000 Issued in FL
Legal business name
LAMB OF GOD MINISTRIES INCORPORATED
Doing business as
Lamb of God Recovery Centers, Inc.
Practice address
1012 S Parrott Ave
Okeechobee, FL 34974-5268
Phone
(863) 467-2677
Fax
(863) 467-0677
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Mr. Lyle R Fried, C.A.P.
Title
Director
Phone
(863) 467-2677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1947AD975000 FL Primary

Addresses

Primary practice location

1012 S Parrott Ave
Okeechobee, FL 34974-5268

Mailing address

1012 S Parrott Ave
Okeechobee, FL 34974-5268
Phone (863) 467-2677

Other names 1

  • Lamb of God Recovery Centers, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1012 S Parrott Ave
Okeechobee, FL 34974
Phone (863) 467-2677

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1174815583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745268",
            "telephone_number": "863-467-2677",
            "fax_number": "863-467-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745268",
            "telephone_number": "863-467-2677",
            "fax_number": "863-467-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMB OF GOD MINISTRIES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-467-2677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.A.P."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1947AD975000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamb of God Recovery Centers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.