Jehoram Christian Outreach Ministries

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

JEHORAM CHRISTIAN OUTREACH MINISTRIES

Practice address

3320 Chalmette CT
Forest Hill, TX 76140-2512

Phone

(682) 551-0568

NPI assigned

Apr 30, 2018

Organization subpart

Yes

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

Authorized official

Name

Mrs. Mary Elizabeth Williams, CHCNPI 1356840383

Title

Ceo

Phone

(682) 551-0568

Specialties & licenses 1

Addresses

Other names 1

• Balancelife a Division of JCOM Other name

Part of

Jehoram Christian Outreach Ministries

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Elizabeth Williams, CHC

  • Health Educator
  • Forest Hill, TX
  • NPI 1356840383
  NPD (past) Authorized official

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1255829792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40345",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761400345",
            "telephone_number": "817-688-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 CHALMETTE CT",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761402512",
            "telephone_number": "682-551-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEHORAM CHRISTIAN OUTREACH MINISTRIES",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-551-0568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balancelife a Division of JCOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vencent Gardner
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• Anthony Hoang
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• Inspired Divinely Health Care, LLC
• Jeremy Simmons, PLLC
• Robert Eric Johnson, PH.D.
• Olutoyin Ezekiel Makinde, RPH
• Bryana M Martin, PSY.D.
• Omolara Madinat Medaiyese, PMHNP

• All providers in Forest Hill, TX
• Voluntary or Charitable Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.