Yoru'Ba' House of Worship, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

YORU'BA' HOUSE OF WORSHIP, INC.

Practice address

6760 Chesepeake PT
Rex, GA 30273-2235

Phone

(678) 481-0426

NPI assigned

Mar 18, 2011

Last updated

Mar 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darlene Denise Dawson, EDS

Title

Executive Director

Phone

(678) 481-0425

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1457650202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 CHESEPEAKE PT",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732235",
            "telephone_number": "678-481-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 CHESEPEAKE PT",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732235",
            "telephone_number": "678-481-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORU'BA' HOUSE OF WORSHIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-481-0425",
        "authorized_official_credential": "EDS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berthina Gaynell Weaver, PRACTICLE NURSE
• Rachel L Whitfield, REGISTERED NURSE
• Nicole Sherrette Williams, RN
• Ralph Bernard Willliams, M.A., M.S., LAPC
• Akwasi G Yeboah, PHARM D.

• Early Intervention Provider Agency in Rex, GA
• Providers in Rex, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.