NPIMap

Organization Active NPI

Power House Miracle Center Ministries Inc.

Doing business as The Kings House II

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1326465584
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12135 Issued in FL
Legal business name
POWER HOUSE MIRACLE CENTER MINISTRIES INC.
Doing business as
The Kings House II
Practice address
12373 Cadley Cir
Jacksonville, FL 32219-1860
Phone
(904) 894-6828
NPI assigned
Mar 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Ms. Melissa A Wade
Title
Administrator
Phone
(904) 894-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12135 FL Primary

Addresses

Primary practice location

12373 Cadley Cir
Jacksonville, FL 32219-1860

Mailing address

12373 Cadley Cir
Jacksonville, FL 32219-1860
Phone (904) 894-6828

Other names 1

  • The Kings House II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Power House Miracle Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1326465584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12373 CADLEY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191860",
            "telephone_number": "904-894-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12373 CADLEY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191860",
            "telephone_number": "904-894-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER HOUSE MIRACLE CENTER MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-894-6828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kings House II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.