Organization Active NPI

The Word of God Christian Centre, Inc.

Doing business as Youth Envisioning Sucess(YES) Academy, Inc

  • Home Health Agency
  • Plantation, FL
National Provider Identifier
1558303289
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992938 Issued in FL
Legal business name
THE WORD OF GOD CHRISTIAN CENTRE, INC.
Doing business as
Youth Envisioning Sucess(YES) Academy, Inc
Practice address
7501 NW 4TH St
Suite 212B
Plantation, FL 33317-2245
Phone
(954) 822-2481
Fax
(954) 206-0910
NPI assigned
Jun 10, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE WORD OF GOD CHRISTIAN CENTREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Dwight Walker Sr.
Title
Ceo
Phone
(954) 822-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992938 FL Primary

Addresses

Primary practice location

7501 NW 4TH St
Suite 212B
Plantation, FL 33317-2245

Mailing address

8066 Via Bolzano
Lake Worth, FL 33467-5232
Phone (954) 822-2481

Other identifiers 1

IdentifierTypeStateIssuer
690341069MedicaidFL

Other names 1

  • Youth Envisioning Sucess(YES) Academy, Inc Doing business as

National Provider Directory

National Provider Directory
Part of
The Word of God Christian Centre Inc

Locations

7501 NW 4th St
Ste 212B
Plantation, FL 33317
Phone (954) 822-2481

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1558303289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 VIA BOLZANO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675232",
            "telephone_number": "954-822-2481",
            "fax_number": "954-206-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 NW 4TH ST",
            "address_2": "SUITE 212B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172245",
            "telephone_number": "954-822-2481",
            "fax_number": "954-206-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WORD OF GOD CHRISTIAN CENTRE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WORD OF GOD CHRISTIAN CENTRE",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-822-2481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690341069",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Envisioning Sucess(YES) Academy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.