Organization Active NPI

Boundless Eagles Outreach Ministry

  • Voluntary or Charitable Agency
  • Detroit, MI
National Provider Identifier
1992033625
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
BOUNDLESS EAGLES OUTREACH MINISTRY
Practice address
14175 Longacre St
Detroit, MI 48227-1356
Phone
(313) 835-0275
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Mr. Kenneth Floyd
Title
President
Phone
(313) 835-0275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

14175 Longacre St
Detroit, MI 48227-1356

Mailing address

14175 Longacre St
Detroit, MI 48227-1356
Phone (313) 835-0275

National Provider Directory

National Provider Directory
Tax ID family
Boundless Eagles Outreach Ministry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1992033625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 LONGACRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271356",
            "telephone_number": "313-835-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14175 LONGACRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271356",
            "telephone_number": "313-835-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS EAGLES OUTREACH MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-835-0275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.