NPIMap

Organization Active NPI

Praise the Lord Ministry

Doing business as PTL Home health Care

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1447455597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRAISE THE LORD MINISTRY
Doing business as
PTL Home health Care
Practice address
1109 Center Street
Fayetteville, NC 28348
Phone
(910) 425-3640
NPI assigned
Jun 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tyrone Johnson
Title
Office Manager
Phone
(910) 425-3640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1109 Center Street
Fayetteville, NC 28348

Mailing address

1109 Center Street
Fayetteville, NC 28348

Other identifiers 2

IdentifierTypeStateIssuer
3409609OtherNCCAP
6601127MedicaidNC

Other names 1

  • PTL Home health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Praise the Lord Ministry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447455597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CENTER STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CENTER STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28348",
            "telephone_number": "910-425-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE THE LORD MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-425-3640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "3409609",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PTL Home health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.