NPIMap

Organization Active NPI

Gods Love Outreach Ministries

  • Mental Illness Community Based Residential Treatment Facility
  • Lodi, CA
National Provider Identifier
1275205502
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GODS LOVE OUTREACH MINISTRIES
Practice address
408 E Pine St
Lodi, CA 95240-2923
Phone
(925) 999-4119
Fax
(925) 800-3102
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dr. Allen Turner
Title
Executive Director
Phone
(925) 443-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

408 E Pine St
Lodi, CA 95240-2923

Mailing address

3123 Independence Dr
Livermore, CA 94551-7595
Phone (925) 999-4119

National Provider Directory

National Provider Directory
Tax ID family
Glom Substance Abuse Program10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1275205502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-999-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E PINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402923",
            "telephone_number": "925-999-4119",
            "fax_number": "925-800-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS LOVE OUTREACH MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-443-3680",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.