Evangel Street & Byway Ministries

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

560428014298 Issued in MI

Legal business name

EVANGEL STREET & BYWAY MINISTRIES

Practice address

12732 Loretto St
Detroit, MI 48205-3941

Phone

(313) 371-1404

Fax

(313) 371-1404

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Johnny Monroe

Title

President

Phone

(313) 717-2513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1396990826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 LORETTO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053941",
            "telephone_number": "313-371-1404",
            "fax_number": "313-371-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 LORETTO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053941",
            "telephone_number": "313-371-1404",
            "fax_number": "313-371-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGEL STREET & BYWAY MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-717-2513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MI",
            "license": "560428014298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Detroit, MI
• Providers in Detroit, MI by specialty
• Private Vehicle in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.