Powerhouse Chapel International

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Legal business name

POWERHOUSE CHAPEL INTERNATIONAL

Practice address

17221 Wayside Dr
Dumfries, VA 22026-2767

Phone

(571) 201-2509

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Eric Manful

Title

Senior Pastor

Phone

(571) 201-2509

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1427895457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17221 WAYSIDE DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262767",
            "telephone_number": "571-201-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17221 WAYSIDE DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262767",
            "telephone_number": "571-201-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERHOUSE CHAPEL INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MANFUL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SENIOR PASTOR",
        "authorized_official_telephone_number": "571-201-2509"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.