NPIMap

Organization Active NPI

Touched by Faith Inc

  • Community/Behavioral Health Agency
  • St Petersburg, FL
National Provider Identifier
1366801789
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
AL 16 Issued in FL
Legal business name
TOUCHED BY FAITH INC
Practice address
302 11TH Ave NE
Saint Petersburg, FL 33701-1926
Phone
(727) 202-8932
Fax
(727) 202-7750
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Marcus Anderson
Title
Ceo
Phone
(727) 202-8932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X AL 16 FL Primary

Addresses

Primary practice location

302 11TH Ave NE
Saint Petersburg, FL 33701-1926

Mailing address

PO Box 35465
Saint Petersburg, FL 33705-0508
Phone (727) 202-8932

Other identifiers 1

IdentifierTypeStateIssuer
013518000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Touched by Faith Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1366801789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35465",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337050508",
            "telephone_number": "727-202-8932",
            "fax_number": "727-202-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 11TH AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337011926",
            "telephone_number": "727-202-8932",
            "fax_number": "727-202-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHED BY FAITH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-202-8932"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "AL 16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013518000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.