Active NPI
Pivot Ministries, Inc.
- Substance Abuse Rehabilitation Facility
- Bridgeport, CT
National Provider Identifier
1255735577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PIVOT MINISTRIES, INC.
- Practice address
- 485 Jane St
Bridgeport, CT 06608-1707 - Phone
- (203) 336-9263
- Fax
- (203) 610-6765
- NPI assigned
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Kiniry
- Title
- Executive Director
- Phone
- (203) 336-9263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
485 Jane St
Bridgeport, CT 06608-1707
Mailing address
485 Jane St
Bridgeport, CT 06608-1707
Phone (203) 336-9263
National Provider Directory
National Provider DirectoryLocations
485 Jane St
Bridgeport, CT 06608
Phone (203) 336-9263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1255735577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 JANE ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066081707",
"telephone_number": "203-336-9263",
"fax_number": "203-610-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 JANE ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066081707",
"telephone_number": "203-336-9263",
"fax_number": "203-610-6765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT MINISTRIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "KINIRY",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-336-9263"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.