New Jerusalem Homeless Ministries

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

NEW JERUSALEM HOMELESS MINISTRIES

Practice address

67 Rockport Dr
Riverdale, GA 30274-6706

Phone

(678) 516-7009

Fax

(678) 479-0651

NPI assigned

Aug 23, 2008

Organization subpart

No

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

Authorized official

Name

Willie M Vincent Jr.

Title

Ceo/Executive Director

Phone

(678) 516-7009

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219449600000",
    "number": "1346497195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ROCKPORT DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302746706",
            "telephone_number": "678-516-7009",
            "fax_number": "678-479-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ROCKPORT DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302746706",
            "telephone_number": "678-516-7009",
            "fax_number": "678-479-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERUSALEM HOMELESS MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-516-7009",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2008; 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.