New Revelation of Christ Church Ministries

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NEW REVELATION OF CHRIST CHURCH MINISTRIES

Practice address

4018 Quail Bush Dr
Dayton, OH 45424-4740

Phone

(937) 305-0024

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Cordell M Mitchell, ORDAINED MINISTER

Title

Pastor

Phone

(937) 305-0024

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1760163083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 QUAIL BUSH DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454244740",
            "telephone_number": "937-305-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 QUAIL BUSH DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454244740",
            "telephone_number": "937-305-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW REVELATION OF CHRIST CHURCH MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CORDELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "937-305-0024",
        "authorized_official_credential": "ORDAINED MINISTER"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Season of Ohio, LP
• Selim Newaz, MD
• Jefferson Lamar Newbern IV, DMD
• Davonna Newberry
• Ronda Newberry

• Assisted Living Facility in Dayton, OH
• Providers in Dayton, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.