Organization Active NPI

Praise the Lord Ministry

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1679714810
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC2573 Issued in NC
Legal business name
PRAISE THE LORD MINISTRY
Practice address
338 Rhew St
Fayetteville, NC 28303-3354
Phone
(910) 425-3640
Fax
(910) 425-0150
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Mr. Tyrone Johnson
Title
Officer Manager
Phone
(941) 425-3640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC2573 NC Primary

Addresses

Primary practice location

338 Rhew St
Fayetteville, NC 28303-3354

Mailing address

338 Rhew St
Fayetteville, NC 28303-3354
Phone (910) 425-3640

Other identifiers 1

IdentifierTypeStateIssuer
3409609MedicaidNC

Other names 1

  • PTL Home health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Praise the Lord Ministry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1679714810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 RHEW ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033354",
            "telephone_number": "910-425-3640",
            "fax_number": "910-425-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 RHEW ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033354",
            "telephone_number": "910-425-3640",
            "fax_number": "910-425-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE THE LORD MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "941-425-3640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409609",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PTL Home health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.