NPIMap

Organization Active NPI

Gods Love Outreach Ministries

  • Mental Illness Community Based Residential Treatment Facility
  • Stockton, CA
National Provider Identifier
1871155309
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GODS LOVE OUTREACH MINISTRIES
Practice address
1117 S Grant St
Stockton, CA 95206-1626
Phone
(925) 570-3282
Fax
(925) 443-3696
NPI assigned
Jul 4, 2019
Last updated
Jul 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GODS LOVE OUTREACH MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Allen Turner
Title
Executive Director
Phone
(925) 443-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1117 S Grant St
Stockton, CA 95206-1626

Mailing address

2150 Portola Ave Ste D109
Livermore, CA 94551-1784
Phone (925) 570-3282

Other names 1

  • G.L.O.M. A.R.F. 3 Other name

National Provider Directory

National Provider Directory
Tax ID family
Gods Love Outreach Ministries10 organizations share this tax ID, including this one
Part of
Gods Love Outreach Ministries

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1871155309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PORTOLA AVE STE D109",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511784",
            "telephone_number": "925-570-3282",
            "fax_number": "925-443-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S GRANT ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952061626",
            "telephone_number": "925-570-3282",
            "fax_number": "925-443-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS LOVE OUTREACH MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GODS LOVE OUTREACH MINISTRIES",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-443-3680"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.L.O.M. A.R.F. 3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.