Born Again Ministries

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

BORN AGAIN MINISTRIES

Practice address

2545 Murray Ave
Norfolk, VA 23518-4521

Phone

(804) 439-1212

Fax

(755) 333-6380

NPI assigned

Jul 22, 2013

Organization subpart

Yes

Parent organization

BORN AGAIN MINISTRIESAs reported in NPPES

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

Authorized official

Name

Dr. John C. Brisco III

Title

Chief Executive Oficer

Phone

(804) 439-1212

Specialties & licenses 1

Addresses

Other names 1

• I-Kare Solutions Doing business as

Tax ID family

I-Kare Solutions2 organizations share this tax ID, including this one

Part of

I-Kare Solutions

Other organizations with this tax ID 1

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

• I-Kare Solutions

  • PACE Provider Organization
  • Norfolk, VA
  • NPI 1841616455
  NPD tax ID

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1629410402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235090101",
            "telephone_number": "804-439-1212",
            "fax_number": "757-333-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 MURRAY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184521",
            "telephone_number": "804-439-1212",
            "fax_number": "755-333-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN AGAIN MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BORN AGAIN MINISTRIES",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "BRISCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFICER",
        "authorized_official_telephone_number": "804-439-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-Kare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy M Boone, LPN
• Jillian Rose Booth, PA-S
• Sandra Lee Borden, LCSW
• Dana Marie Borer
• Sangeeta Borkar, FNP-C
• Brandi Borowski, PHARMD
• Stephen M. Borza, RPH
• Augustine O Bosah, MD
• Emily Lisbeth Bosch, MMS, PA-C
• Jeremy Thomas Bose

• PACE Provider Organization in Norfolk, VA
• Providers in Norfolk, VA by specialty
• PACE Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.