CHRISTIAN CARE NURSING CENTER, INC. (NPI# 1174928618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174928618 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CARE NURSING CENTER, INC. |
| Other Organization Name | CHRISTIAN CARE OUTPATIENT REHAB CENTER |
| Practice Address |
11830 N 19th Ave Suite 101 Phoenix AZ 85029-3519 |
| Mailing Address |
11812 N 19th Ave Phoenix AZ 85029-3536 |
| Practice Telephone | 6024435447 |
| Practice Fax Number | 6024435449 |
| Mailing Telephone | 6024435400 |
| Mailing Fax Number | 6024435449 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | KATHY LOSCHEIDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6024435439 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIAN CARE NURSING CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
OTC4861 | AZ | Ambulatory Health Care Facilities |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OTC4861 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | OTC4861 | 01 |
| Other Name | Type Code |
|---|---|
| Christian Care Outpatient Rehab Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998799 | Christian Care Nursing Center, Inc. | Clinic/Center | 155 W Brown Rd, Mesa, AZ 85201-3427 | 2014-11-04 |
| Street Address |
11830 N 19TH AVE SUITE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093025439 | Home Health Care, Inc. | Home Health | 11830 N 19th Ave, Phoenix, AZ 85029-3519 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013404680 | Continuum Recovery Center | Clinic/Center | 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 | 2018-04-18 |
| 1952716698 | Restore Functional Restoration, LLC | Clinic/Center | 20002 N 19th Ave # B100, Phoenix, AZ 85027-4250 | 2014-06-20 |
| 1124011812 | Above & Beyond Therapy Services LLC | Clinic/Center | 3233 W Peoria Ave, Suite 224, Phoenix, AZ 85029-4614 | 2005-08-26 |
| 1023619632 | Bhsm Rehabilitation, LLC | Clinic/Center | 2222 E Highland Ave Ste 310, Phoenix, AZ 85016-4879 | 2020-11-02 |
| 1225505464 | Bhsm Rehabilitation, LLC | Clinic/Center | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2018-10-25 |
| 1326563370 | Bhsm Rehabilitation, LLC | Clinic/Center | 14001 N 7th St Ste A102, Phoenix, AZ 85022-4382 | 2017-08-11 |
| 1861917817 | Bhsm Rehabilitation, LLC | Clinic/Center | 1661 E Camelback Rd Ste 152, Phoenix, AZ 85016-3921 | 2017-08-11 |
| 1629485198 | Duane Young | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2014-07-16 |
| 1104090844 | Arizona Rehabilitation Associates, Ltd. | Clinic/Center | 20940 N Tatum Blvd, Suite 200, Phoenix, AZ 85050-4265 | 2008-04-14 |
| 1033394507 | Valley Rehabilitation Associates, Inc | Clinic/Center | 20940 N Tatum Blvd, Suite 200, Phoenix, AZ 85050-4265 | 2008-01-03 |
| Find all providers in PHOENIX | ||||
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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.