Provider Demographics
NPI:1114277753
Name:NEW BIRTH IN CHRIST MINISRTY
Entity Type:Organization
Organization Name:NEW BIRTH IN CHRIST MINISRTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR
Authorized Official - Prefix:
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:BISHOP
Authorized Official - Phone:972-966-9980
Mailing Address - Street 1:2914 LINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-6621
Mailing Address - Country:US
Mailing Address - Phone:972-966-9980
Mailing Address - Fax:
Practice Address - Street 1:6932 WOFFORD AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-5836
Practice Address - Country:US
Practice Address - Phone:972-966-9980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility