Family Life Outreach Ministry, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAMILY LIFE OUTREACH MINISTRY, INC.

Practice address

11990 Nicole LN
Forney, TX 75126-7027

Phone

(972) 564-4199

Fax

(972) 564-4041

NPI assigned

Sep 23, 2006

Organization subpart

No

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

Authorized official

Name

Johnny Ray Cook

Title

Director/ Ceo

Phone

(972) 564-4199

Specialties & licenses 1

Addresses

Other names 1

• Family Life Ministry Doing business as

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326148917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 NICOLE LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751267027",
            "telephone_number": "972-564-4199",
            "fax_number": "972-564-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 NICOLE LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751267027",
            "telephone_number": "972-564-4199",
            "fax_number": "972-564-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE OUTREACH MINISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DIRECTOR/ CEO",
        "authorized_official_telephone_number": "972-564-4199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Life Ministry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Forney, TX
• Providers in Forney, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.