Christ Tabernacle Ministries of Excellence Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CHRIST TABERNACLE MINISTRIES OF EXCELLENCE INC.

Doing business as

Step of Faith Comprehensive Health and Wellness Center

Practice address

11260 Chester Rd Ste 240
Cincinnati, OH 45246-4050

Phone

(513) 771-3412

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edna Denise Lackey, RN MBA PH.DNPI 1922414044

Title

Practitioner

Phone

(513) 771-3412

Specialties & licenses 6

Addresses

Other names 1

• Step of Faith Comprehensive Health and Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edna Denise Lackey, RN MBA PH.D

  • Administrator Registered Nurse
  • Cincinnati, OH
  • NPI 1922414044

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1912314436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 CHESTER RD STE 240",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464050",
            "telephone_number": "513-771-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 CHESTER RD STE 240",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464050",
            "telephone_number": "513-771-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST TABERNACLE MINISTRIES OF EXCELLENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "513-771-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN MBA PH.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step of Faith Comprehensive Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christ Hospital Medical Specialists II, LLC (Cincinnati Hematology Oncology)
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• Christ Hospital Orthopedic Associates III LLC
• Christ Hospital Orthopedic Associates LLC
• Christ Recovery of Saints & Sinners, (5H Counseling & Consulting Services)
• Cherryl June Christensen, D.O.
• Dottie Christensen
• Ashley Christenson, LISW
• Christian Community Health (Crossroad Health Center)
• Christian Community Health Services (Crossroad Health Center)

• Primary Care Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.