Temple of God Baptist Church

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12446 Issued in FL

Legal business name

TEMPLE OF GOD BAPTIST CHURCH

Doing business as

Florida Assisted Living Facility of Perry

Practice address

105 Sandra St
Perry, FL 32348-4228

Phone

(850) 584-2388

Fax

(850) 584-8569

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Gail W. French

Title

Administrator

Phone

(850) 584-2388

Specialties & licenses 1

Addresses

Other names 1

• Florida Assisted Living Facility of Perry Doing business as

Locations

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1942621552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SANDRA ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323484228",
            "telephone_number": "850-584-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SANDRA ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323484228",
            "telephone_number": "850-584-2388",
            "fax_number": "850-584-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE OF GOD BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-584-2388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Assisted Living Facility of Perry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Perry, FL
• Providers in Perry, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.