Organization Active NPI

Humility Outreach Missionary Ministries, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Washington, DC
National Provider Identifier
1316387046
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1049 Issued in DC
Legal business name
HUMILITY OUTREACH MISSIONARY MINISTRIES, INC.
Practice address
4312 Halley Ter SE
Washington, DC 20032-5838
Phone
(202) 373-0550
Fax
(202) 373-5540
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mr. David Aaron Gilmore
Title
Chief Executive Officer
Phone
(240) 882-8068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1049 DC Primary

Addresses

Primary practice location

4312 Halley Ter SE
Washington, DC 20032-5838

Mailing address

2200 Tucker Rd
Fort Washington, MD 20744-3517
Phone (240) 882-8068

Other identifiers 1

IdentifierTypeStateIssuer
320800000XMedicaidDC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1316387046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 TUCKER RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443517",
            "telephone_number": "240-882-8068",
            "fax_number": "202-373-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 HALLEY TER SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325838",
            "telephone_number": "202-373-0550",
            "fax_number": "202-373-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMILITY OUTREACH MISSIONARY MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-882-8068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "DC",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320800000X",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.