NPIMap

Organization Active NPI

Power & Praise Tabernacle

  • Adult Care Home Facility
  • High Point, NC
National Provider Identifier
1710100078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL041056 Issued in NC
Legal business name
POWER & PRAISE TABERNACLE
Practice address
807 Vail Ave
High Point, NC 27260
Phone
(336) 887-2057
Fax
(336) 887-4513
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Makesia T Marshall Battles
Title
Administrator
Phone
(336) 887-2057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL041056 NC Primary

Addresses

Primary practice location

807 Vail Ave
High Point, NC 27260

Mailing address

807 Vail Ave
High Point, NC 27260
Phone (336) 887-2057

Other identifiers 1

IdentifierTypeStateIssuer
7805578MedicaidNC

Other names 1

  • As It Is In Heaven Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710100078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 VAIL AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-887-2057",
            "fax_number": "336-887-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 VAIL AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-887-2057",
            "fax_number": "336-887-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER & PRAISE TABERNACLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL BATTLES",
        "authorized_official_first_name": "MAKESIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-887-2057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL041056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805578",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "As It Is In Heaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.