Provider Demographics
NPI:1467728915
Name:JOHN 316 INTERNATIONAL MINISTRIES LLC
Entity Type:Organization
Organization Name:JOHN 316 INTERNATIONAL MINISTRIES LLC
Other - Org Name:OMNI CARE PERSONAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-752-1733
Mailing Address - Street 1:1133 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-5831
Mailing Address - Country:US
Mailing Address - Phone:786-752-1733
Mailing Address - Fax:
Practice Address - Street 1:1133 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-5831
Practice Address - Country:US
Practice Address - Phone:786-752-1733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care