Evangelistic Outreach Ministries Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EVANGELISTIC OUTREACH MINISTRIES INC

Doing business as

Council Community Adult Center

Practice address

34 Warren Ave
Council, NC 28434-8406

Phone

(910) 991-1386

NPI assigned

Mar 10, 2015

Last updated

Mar 10, 2015By 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

Mrs. Millicent E Parker

Title

Owner

Phone

(910) 874-1312

Specialties & licenses 1

Addresses

Other names 1

• Council Community Adult Center Doing business as

Locations

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1912390337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WARREN AVE",
            "city": "COUNCIL",
            "state": "NC",
            "postal_code": "284348406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WARREN AVE",
            "city": "COUNCIL",
            "state": "NC",
            "postal_code": "284348406",
            "telephone_number": "910-991-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELISTIC OUTREACH MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-874-1312",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council Community Adult Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaconya Lacole Bordeaux

• Developmentally Disabled Services Day Training Agency in Council, NC
• Providers in Council, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.