1922300474 NPI number — FREEDOM HOUSE MINISTERIES

Table of content: (NPI 1922300474)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922300474 NPI number — FREEDOM HOUSE MINISTERIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREEDOM HOUSE MINISTERIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KANSAS CITY HOUSE OF HOPE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922300474
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7044 ANTIOCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERRIAM
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66204-1246
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-262-8885
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7044 ANTIOCH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERRAIM
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66204
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
913-262-8885
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/02/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
MARILYN
Authorized Official Middle Name:
Authorized Official Title or Position:
FOUNDER/EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
913-262-8885

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  2046 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 323P00000X , with the licence number: 2046 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)