Household of Faith

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

HOUSEHOLD OF FAITH

Practice address

341 Old Griffin Rd
Jackson, GA 30233-4952

Phone

(678) 774-8033

NPI assigned

Dec 7, 2012

Last updated

Dec 8, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

HOUSEHOLD OF FAITHAs reported in NPPES

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

Authorized official

Name

Mrs. Angela Miller

Title

Excutive Director

Phone

(678) 774-8033

Specialties & licenses 2

Addresses

Other names 1

• household of faith Other name

Part of

Household of Faith

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354924800000",
    "number": "1174868707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 OLD GRIFFIN RD",
            "address_2": "P.O BOX1804",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302334952",
            "telephone_number": "678-774-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 OLD GRIFFIN RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302334952",
            "telephone_number": "678-774-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSEHOLD OF FAITH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSEHOLD OF FAITH",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-774-8033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "household of faith",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Preferred Provider Organization in Jackson, GA
• Providers in Jackson, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.