The Deliverance Overcoming Church of God

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Legal business name

THE DELIVERANCE OVERCOMING CHURCH OF GOD

Practice address

7201 Quincy Ave
Cleveland, OH 44104-1942

Phone

(216) 391-7289

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Andrae D Maze, MBA

Title

Ceo / Senior Pastor

Phone

(216) 287-5031

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1619634078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442581945",
            "telephone_number": "216-391-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 QUINCY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441041942",
            "telephone_number": "216-391-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DELIVERANCE OVERCOMING CHURCH OF GOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "MAZE",
        "authorized_official_first_name": "ANDRAE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO / SENIOR PASTOR",
        "authorized_official_telephone_number": "216-287-5031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Nov 19, 2021; 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.