Organization Active NPI

El Shaddai Ministry Co.

  • Home Health Agency
  • South Bend, IN
National Provider Identifier
1891023834
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EL SHADDAI MINISTRY CO.
Practice address
53280 Placid Dr
South Bend, IN 46637-3542
Phone
(574) 273-1733
NPI assigned
Dec 3, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Dr. Janis Marie Stewart, RN,MSN, DNSC
Title
Aministrator
Phone
(574) 273-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

53280 Placid Dr
South Bend, IN 46637-3542

Mailing address

53280 Placid Dr
South Bend, IN 46637-3542
Phone (574) 273-1733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1891023834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53280 PLACID DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373542",
            "telephone_number": "574-273-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53280 PLACID DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373542",
            "telephone_number": "574-273-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI MINISTRY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AMINISTRATOR",
        "authorized_official_telephone_number": "574-273-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN,MSN, DNSC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.