Love Overwhelming

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LOVE OVERWHELMING

Doing business as

Kelso Foursquare Church

Practice address

304 Cowlitz Way
Kelso, WA 98626-4110

Phone

(360) 749-8056

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Charles D Hendrickson

Title

Executive Director

Phone

(360) 749-8056

Specialties & licenses 1

Addresses

Other names 1

• Kelso Foursquare Church Doing business as

Locations

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1649665654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986260003",
            "telephone_number": "360-749-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 COWLITZ WAY",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264110",
            "telephone_number": "360-749-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE OVERWHELMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-749-8056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelso Foursquare Church",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Kelso, WA
• Providers in Kelso, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.