NPIMap

Organization Active NPI

Word of Life Evangelistic Ministry

  • Children's Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1326468414
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
242415 Issued in CA
Legal business name
WORD OF LIFE EVANGELISTIC MINISTRY
Doing business as
Word of Life Ministry
Practice address
2848 Mariposa St
Fresno, CA 93721-1308
Phone
(559) 233-1988
Fax
(559) 233-1989
NPI assigned
Apr 16, 2014
Organization subpart
Yes
Parent organization
WORD OF LIFE EVANGELISTIC MINISTRY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Wayne Bynum
Title
President
Phone
(559) 233-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 242415 CA Primary

Addresses

Primary practice location

2848 Mariposa St
Fresno, CA 93721-1308

Mailing address

2848 Mariposa St
Fresno, CA 93721-1308
Phone (559) 233-1988

Other names 1

  • Word of Life Ministry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Word of Life Evangelistic Ministry2 organizations share this tax ID, including this one
Part of
Word of Life Evangelistic Ministry

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": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1326468414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 MARIPOSA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211308",
            "telephone_number": "559-233-1988",
            "fax_number": "559-233-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 MARIPOSA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211308",
            "telephone_number": "559-233-1988",
            "fax_number": "559-233-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD OF LIFE EVANGELISTIC MINISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WORD OF LIFE EVANGELISTIC MINISTRY, INC",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-233-1988"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "242415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Word of Life Ministry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.