Active NPI
Word of Life Ministry, Inc.
- Children's Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1700148954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- License
- 242415
- Legal business name
- WORD OF LIFE MINISTRY, INC.
- Practice address
- 1303 W 88TH St
Los Angeles, CA 90044-2127 - Phone
- (559) 579-0649
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Calvin W Bynum
- Title
- President
- Phone
- (559) 579-0649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 242415 | CA | Primary |
Addresses
Primary practice location
1303 W 88TH St
Los Angeles, CA 90044-2127
Mailing address
PO Box 2631
Fresno, CA 93745-2631
National Provider Directory
National Provider Directory- Tax ID family
- Word of Life Evangelistic Ministry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Word of Life Ministry
- Children's Substance Abuse Rehabilitation Facility
- Fresno, CA
- NPI 1326468414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339545600000",
"number": "1700148954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2631",
"city": "FRESNO",
"state": "CA",
"postal_code": "937452631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 W 88TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900442127",
"telephone_number": "559-579-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORD OF LIFE MINISTRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A",
"authorized_official_last_name": "BYNUM",
"authorized_official_first_name": "CALVIN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-579-0649"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "CA",
"license": "242415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 13, 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.