Temple of the Lord Outreach Ministries Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NV20051605735 Issued in NV

Legal business name

TEMPLE OF THE LORD OUTREACH MINISTRIES INC.

Practice address

94 Ancient Hills LN
Henderson, NV 89074-1750

Phone

(702) 682-9225

NPI assigned

Nov 2, 2012

Organization subpart

Yes

Parent organization

TEMPLE OF THE LORD OUTREACH MINISTRIES INC.62866637As reported in NPPES

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

Authorized official

Name

Mr. Dennis Gray III

Title

President

Phone

(702) 682-9225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Agape House Doing business as

Tax ID family

Temple of the Lord Outreach Ministries Inc2 organizations share this tax ID, including this one

Part of

Temple of the Lord Outreach Ministries Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Temple of the Lord Outreach

  • Behavior Analyst
  • Henderson, NV
  • NPI 1740564699
  NPD tax ID

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1629322367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94091",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891934091",
            "telephone_number": "702-682-9225",
            "fax_number": "702-475-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 ANCIENT HILLS LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741750",
            "telephone_number": "702-682-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE OF THE LORD OUTREACH MINISTRIES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE OF THE LORD OUTREACH MINISTRIES INC.62866637",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-682-9225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NV",
            "license": "NV20051605735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740564699",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Amber Tegtmeier, ASW, LSW
• Annette Teijeiro, M. D.
• Laura F Teisch, M.D.
• Kacie Telles
• Temple of the Lord Outreach
• Tender Care Home Health, Inc.
• Sounita Teng
• Patricia Tengco Quezada
• Rachel Tennis, PA-C
• Jordan Tennyson

• Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.