Active NPI
Women in Crisis Outreach Ministry & Shelter Inc.
- Assisted Living Facility
- Mobile, AL
National Provider Identifier
1851561351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- WOMEN IN CRISIS OUTREACH MINISTRY & SHELTER INC.
- Practice address
- 9030 Broadus Loop Rd
Mobile, AL 36613-9616 - Phone
- (251) 649-9440
- NPI assigned
- Mar 11, 2008
- 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
- Mrs. Wanda L. Randolph, BISHOP
- Title
- C.E.O./Pastor
- Phone
- (251) 649-9440
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | AL | ||
| Health Maintenance Organization | 302R00000X | AL | ||
| Assisted Living Facility | 310400000X | AL | Primary | |
| Physical Disabilities Residential Treatment Facility | 320700000X | AL | ||
| Private Vehicle | 347C00000X | AL |
Addresses
Primary practice location
9030 Broadus Loop Rd
Mobile, AL 36613-9616
Mailing address
9030 Broadus Loop Rd
Mobile, AL 36613-9616
Phone (251) 649-9440
Other names 1
- Women In Crisis Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371772800000",
"number": "1851561351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 BROADUS LOOP RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366139616",
"telephone_number": "251-649-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 BROADUS LOOP RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366139616",
"telephone_number": "251-649-9440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN IN CRISIS OUTREACH MINISTRY & SHELTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2013-06-21",
"status": "A",
"authorized_official_last_name": "RANDOLPH",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "C.E.O./PASTOR",
"authorized_official_telephone_number": "251-649-9440",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BISHOP"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Women In Crisis Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.