Organization Active NPI

City of Jesus Promise Land, LLC

  • Non-emergency Medical Transport (VAN)
  • Durham, NC
National Provider Identifier
1740986314
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CITY OF JESUS PROMISE LAND, LLC
Practice address
1321 Humphrey St
Durham, NC 27701-4229
Phone
(919) 641-1337
NPI assigned
Feb 6, 2023
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Annie Woody
Title
Owner
Phone
(919) 641-1337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary
Private Vehicle 347C00000X NU

Addresses

Primary practice location

1321 Humphrey St
Durham, NC 27701-4229

Mailing address

1321 Humphrey St
Durham, NC 27701-4229
Phone (919) 641-1337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1740986314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 HUMPHREY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014229",
            "telephone_number": "919-641-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HUMPHREY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014229",
            "telephone_number": "919-641-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JESUS PROMISE LAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-641-1337"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.