WORD OF LIFE EVANGELISTIC MINISTRY (NPI# 1326468414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326468414 |
Entity Type | Organization |
Organization Name | WORD OF LIFE EVANGELISTIC MINISTRY |
Other Organization Name | WORD OF LIFE MINISTRY |
Practice Address |
2848 Mariposa St Fresno CA 93721-1308 |
Practice Telephone | 5592331988 |
Practice Fax Number | 5592331989 |
Mailing Telephone | 5592331988 |
Mailing Fax Number | 5592331989 |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |
Authorized Official Name | WAYNE BYNUM (PRESIDENT) |
Authorized Official Telephone | 5592331988 |
Is Organization Subpart | Y |
Parent Organization Name | WORD OF LIFE EVANGELISTIC MINISTRY, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
242415 | CA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Word of Life Ministry | Doing Business As Name - Organization |
Street Address |
2848 MARIPOSA ST |
City | FRESNO |
State | CA |
Zip Code | 93721-1308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689955254 | California Pain Rehabilitation Institute | Specialist | 2848 Mariposa St, Fresno, CA 93721-1308 | 2011-09-08 |
1760765721 | Vital Surgical Solutions | Clinic/Center | 2848 Mariposa St, Fresno, CA 93721-1308 | 2011-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
Find all providers in zip 93721 |
Taxonomy Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962724120 | Eureka Program | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2010-02-15 |
1235631391 | Eureka Programs LLC | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2018-03-05 |
1447752548 | Kim'e Woods | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2018-03-05 |
1184991291 | Westcare California | Substance Abuse Rehabilitation Facility | 2772 Martin L King Jr Blvd, Fresno, CA 93706-5345 | 2011-11-18 |
1184880486 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-06 |
1114129814 | Addiction Intervention Resources | Substance Abuse Rehabilitation Facility | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-06-04 |
1609992882 | Aida Monika Moya | Substance Abuse Rehabilitation Facility | 3333 E American Ave, Fresno, CA 93725-9235 | 2007-03-21 |
1952438467 | Westcare | Substance Abuse Rehabilitation Facility | 611 E Belmont Ave, Fresno, CA 93701-1502 | 2007-02-28 |
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1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
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1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.