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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992938
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- THE WORD OF GOD CHRISTIAN CENTRE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690341069 | Medicaid | FL |
Other names 1
- Youth Envisioning Sucess(YES) Academy, Inc
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.