Gracious Outreach Ministries

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GRACIOUS OUTREACH MINISTRIES

Practice address

17336 W 12 Mile Rd
Southfield, MI 48076-2113

Phone

(313) 739-3352

Fax

(313) 887-4081

NPI assigned

Oct 28, 2008

Organization subpart

Yes

Parent organization

SPIRITLOVE MINISTRIES INTERNATIONALAs reported in NPPES

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

Authorized official

Name

Mrs. Tanisha C Burton

Title

Chairman/ Ceo

Phone

(313) 739-3352

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1922251545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32797",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482320797",
            "telephone_number": "313-739-3352",
            "fax_number": "313-887-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762113",
            "telephone_number": "313-739-3352",
            "fax_number": "313-887-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS OUTREACH MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPIRITLOVE MINISTRIES INTERNATIONAL",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHAIRMAN/ CEO",
        "authorized_official_telephone_number": "313-739-3352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.