Organization Active NPI

Christian Ministries Volunteer Organization

  • Assisted Living Facility
  • Griffin, GA
National Provider Identifier
1326104720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHRISTIAN MINISTRIES VOLUNTEER ORGANIZATION
Doing business as
VICTORIAN MANOR
Practice address
630 Meriwether St
Griffin, GA 30224-4139
Phone
(770) 233-8116
Fax
(770) 233-8482
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Odom
Title
Ceo
Phone
(770) 227-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X GA Primary

Addresses

Primary practice location

630 Meriwether St
Griffin, GA 30224-4139

Mailing address

121 W College St
Griffin, GA 30224-4220
Phone (770) 233-0400

Other names 1

  • VICTORIAN MANOR Doing business as

National Provider Directory

National Provider Directory

Locations

630 Meriwether St
Griffin, GA 30224
Phone (770) 233-8116

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326104720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W COLLEGE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244220",
            "telephone_number": "770-233-0400",
            "fax_number": "770-233-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MERIWETHER ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244139",
            "telephone_number": "770-233-8116",
            "fax_number": "770-233-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN MINISTRIES VOLUNTEER ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-227-9222"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORIAN MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.