Organization Active NPI

Set the Captives Free Deliverance Ministry

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1689969438
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SET THE CAPTIVES FREE DELIVERANCE MINISTRY
Practice address
3824 Crenshaw Blvd
A
Los Angeles, CA 90008-1813
Phone
(310) 908-3856
Fax
(323) 755-3959
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Ms. Sharon Darnell Simmon-Pullard
Title
Chief Executive Officer
Phone
(310) 908-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3824 Crenshaw Blvd
A
Los Angeles, CA 90008-1813

Mailing address

3824 Crenshaw Blvd
A
Los Angeles, CA 90008-1813
Phone (213) 709-6402

Other names 1

  • St. Paul Center 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Set the Captives Free Deliverance Ministry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3824 Crenshaw Blvd
#A
Los Angeles, CA 90008
Phone (310) 908-3856

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1689969438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 CRENSHAW BLVD",
            "address_2": "A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081813",
            "telephone_number": "213-709-6402",
            "fax_number": "323-755-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 CRENSHAW BLVD",
            "address_2": "A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081813",
            "telephone_number": "310-908-3856",
            "fax_number": "323-755-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SET THE CAPTIVES FREE DELIVERANCE MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMMON-PULLARD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-908-3856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Paul Center 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.