Active NPI
Successful Building Outreach Ministry Church
- Voluntary or Charitable Agency
- Sterling Heights, MI
National Provider Identifier
1730415662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- SUCCESSFUL BUILDING OUTREACH MINISTRY CHURCH
- Practice address
- 3187 Mangrove Dr
Sterling Heights, MI 48314-4409 - Phone
- (248) 761-6170
- NPI assigned
- Oct 28, 2009
- 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
- Mr. Robert Paul Black
- Title
- Director
- Phone
- (248) 761-6170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
3187 Mangrove Dr
Sterling Heights, MI 48314-4409
Mailing address
3187 Mangrove Dr
Sterling Heights, MI 48314-4409
Phone (248) 761-6170
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256688000000",
"number": "1730415662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3187 MANGROVE DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483144409",
"telephone_number": "248-761-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3187 MANGROVE DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483144409",
"telephone_number": "248-761-6170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESSFUL BUILDING OUTREACH MINISTRY CHURCH",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-28",
"last_updated": "2009-10-28",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-761-6170",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.