Active NPI
New Foundation 180 Outreach Ministry
- Voluntary or Charitable Agency
- Southfield, MI
National Provider Identifier
1407082977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- NEW FOUNDATION 180 OUTREACH MINISTRY
- Practice address
- 22319 La Seine St Apt 301
Southfield, MI 48075-4044 - Phone
- (248) 752-1279
- Fax
- (245) 855-9624
- NPI assigned
- Jun 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Robinson
- Title
- Director
- Phone
- (248) 752-1279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
22319 La Seine St Apt 301
Southfield, MI 48075-4044
Mailing address
22319 La Seine St Apt 301
Southfield, MI 48075-4044
Phone (248) 752-1279
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244592000000",
"number": "1407082977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22319 LA SEINE ST APT 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754044",
"telephone_number": "248-752-1279",
"fax_number": "245-855-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22319 LA SEINE ST APT 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754044",
"telephone_number": "248-752-1279",
"fax_number": "245-855-9624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW FOUNDATION 180 OUTREACH MINISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-752-1279",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.