Active NPI
Save Our Ship Marooms LLC
- Religious Nonmedical Practitioner
- Beaumont, TX
National Provider Identifier
1285116137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Practitioner | 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
National Provider Directory
National Provider DirectoryNPI 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.