NPIMap

Organization Active NPI

Into His Rest Ministries

  • Clinical Social Worker
  • Buchanan, MI
National Provider Identifier
1235526260
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1041C0700X Issued in MI
Legal business name
INTO HIS REST MINISTRIES
Practice address
102 Elizabeth St
Buchanan, MI 49107-1327
Phone
(269) 471-6375
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
David Sedlacek, LMSW
Title
Owner
Phone
(269) 471-6375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1041C0700X MI Primary

Addresses

Primary practice location

102 Elizabeth St
Buchanan, MI 49107-1327

Mailing address

102 Elizabeth St
Buchanan, MI 49107-1327
Phone (269) 471-6375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1235526260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELIZABETH ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071327",
            "telephone_number": "269-471-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELIZABETH ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071327",
            "telephone_number": "269-471-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO HIS REST MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "SEDLACEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-471-6375",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.