Vision of Faith Outrreach Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

VISION OF FAITH OUTRREACH INC

Practice address

582 W Main St
Suite 101
New Britain, CT 06053-3920

Phone

(877) 885-8516

Fax

(860) 224-0675

NPI assigned

Feb 9, 2013

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Roslyn Y. Crossdale

Title

Executive Director

Phone

(877) 885-8516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1215276357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533920",
            "telephone_number": "877-885-8516",
            "fax_number": "860-224-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533920",
            "telephone_number": "877-885-8516",
            "fax_number": "860-224-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OF FAITH OUTRREACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "CROSSDALE",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "877-885-8516",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490636670-001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in New Britain, CT
• Providers in New Britain, CT by specialty
• Voluntary or Charitable Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.