Organization Active NPI

Save Our Ship Marooms LLC

  • Religious Nonmedical Practitioner
  • Beaumont, TX
National Provider Identifier
1285116137
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical PractitionerTaxonomy code 374K00000X
Legal business name
SAVE OUR SHIP MAROOMS LLC
Practice address
3595 Grand St
Beaumont, TX 77703-3517
Phone
(409) 444-6377
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Richard Lawrence (Agape) Stanley, BSN
Title
Bachelor Science Nursinh
Phone
(478) 588-7617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 374K00000X Primary

Addresses

Primary practice location

3595 Grand St
Beaumont, TX 77703-3517

Mailing address

3595 Grand St
Beaumont, TX 77703-3517
Phone (409) 833-6002

Other practice location 1

461 Forrest Woods Dr
Raeford, NC 28376-6420
Phone (910) 920-8657

Other practice location 2

6334 Marykirk Dr
Fayetteville, NC 28304-2859
Phone (910) 822-4022

Other names 1

  • CQKabbalah Bread-Bed&Breakfast Now Corporation Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1285116137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 GRAND ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777033517",
            "telephone_number": "409-833-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 GRAND ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777033517",
            "telephone_number": "409-444-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 Forrest Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283766420",
            "country_code": "US",
            "telephone_number": "910-920-8657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6334 Marykirk Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042859",
            "country_code": "US",
            "telephone_number": "910-822-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAVE OUR SHIP MAROOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAWRENCE (AGAPE)",
        "authorized_official_title_or_position": "BACHELOR SCIENCE NURSINH",
        "authorized_official_telephone_number": "478-588-7617",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CQKabbalah Bread-Bed&Breakfast Now Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.