Organization Active NPI

Gods House of Solomon

  • Voluntary or Charitable Agency
  • Jacksonville, FL
National Provider Identifier
1942796347
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GODS HOUSE OF SOLOMON
Practice address
1709 Helena St
Jacksonville, FL 32208-3692
Phone
(561) 358-2049
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Dr. Vernell King, MCAP
Title
Ex Dir/Provost/Counselor
Phone
(561) 358-2049

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X FL
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X Primary
Religious Nonmedical Health Care Institution 282J00000X FL
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1709 Helena St
Jacksonville, FL 32208-3692

Mailing address

PO Box 2785
Jacksonville, FL 32203-2785
Phone (561) 358-2049

Other names 3

  • Eastward Christian Bible College Doing business as
  • ECBC Educational Services Other name
  • GHOS Counseling Services Other name

National Provider Directory

National Provider Directory

Locations

1709 Helena St
Jacksonville, FL 32208
Phone (561) 358-2049

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1942796347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2785",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322032785",
            "telephone_number": "561-358-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 HELENA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083692",
            "telephone_number": "561-358-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS HOUSE OF SOLOMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "VERNELL",
        "authorized_official_title_or_position": "EX DIR/PROVOST/COUNSELOR",
        "authorized_official_telephone_number": "561-358-2049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MCAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastward Christian Bible College",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECBC Educational Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GHOS Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.