House of Restoration

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

HOUSE OF RESTORATION

Practice address

1200 12TH CT
Phenix City, AL 36867-5732

Phone

(334) 214-5522

Fax

(334) 214-5525

NPI assigned

Feb 26, 2010

Last updated

Feb 26, 2010By 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

Mr. Johnnie Clifton Robinson Jr.

Title

Executive Director/ Social Worker

Phone

(334) 214-5522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1922320324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675732",
            "telephone_number": "334-214-5522",
            "fax_number": "334-214-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675732",
            "telephone_number": "334-214-5522",
            "fax_number": "334-214-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ SOCIAL WORKER",
        "authorized_official_telephone_number": "334-214-5522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Case Manager/Care Coordinator in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.