Bloomington Pentecostal Church of God
NPI 1285598243 · Case Manager/Care Coordinator · Lytle Creek, CA
Bloomington Pentecostal Church of God is a Case Manager/Care Coordinator organization in Lytle Creek, CA (NPI 1285598243).
Provider details
- NPI number
- 1285598243
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- John Deatherage, Pastor(909) 900-6011
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-15
- Last updated
- 2025-12-15
- Certified
- 2025-12-14
Frequently asked questions
- What is Bloomington Pentecostal Church of God's NPI number?
- Bloomington Pentecostal Church of God's National Provider Identifier (NPI) is 1285598243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloomington Pentecostal Church of God?
- Bloomington Pentecostal Church of God is classified in the NPPES registry as Case Manager/Care Coordinator (Other Service Providers).
- Where is Bloomington Pentecostal Church of God located?
- Bloomington Pentecostal Church of God's practice location on file with NPPES is 585 Lytle Creek Rd, Lytle Creek, CA 92358-9758.
- What is Bloomington Pentecostal Church of God's phone number?
- The practice phone number listed in the NPPES registry for Bloomington Pentecostal Church of God is (909) 900-6011.
- Who is the authorized official for Bloomington Pentecostal Church of God?
- The authorized official listed on Bloomington Pentecostal Church of God's NPPES record is John Deatherage, Pastor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloomington Pentecostal Church of God's NPI active?
- Yes — Bloomington Pentecostal Church of God's NPI (1285598243) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.