Temple of the Lord Outreach

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TEMPLE OF THE LORD OUTREACH

Practice address

94 Ancient Hills LN
Henderson, NV 89074-1750

Phone

(702) 401-9314

Fax

(702) 475-6845

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Gray III

Title

Director

Phone

(702) 401-9314

Specialties & licenses 1

Addresses

Other names 1

• Agape House Doing business as

Tax ID family

Temple of the Lord Outreach Ministries Inc2 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.

• Temple of the Lord Outreach Ministries Inc.

  • Counselor
  • Henderson, NV
  • NPI 1629322367
  NPD tax ID

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1740564699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ANCIENT HILLS LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741750",
            "telephone_number": "702-401-9314",
            "fax_number": "702-465-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 ANCIENT HILLS LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741750",
            "telephone_number": "702-401-9314",
            "fax_number": "702-475-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE OF THE LORD OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-401-9314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyerusalem Teffera
• Meghan Amber Tegtmeier, ASW, LSW
• Annette Teijeiro, M. D.
• Laura F Teisch, M.D.
• Kacie Telles
• Temple of the Lord Outreach Ministries Inc.
• Tender Care Home Health, Inc.
• Sounita Teng
• Patricia Tengco Quezada
• Rachel Tennis, PA-C

• Behavior Analyst in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.