CHRISTIAN CARE CENTERS, INC. (NPI# 1184615312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184615312 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CARE CENTERS, INC. |
| Other Organization Name | LAKEWOOD VILLAGE HEALTH CARE CENTER |
| Practice Address |
5100 Randol Mill Rd Fort Worth TX 76112-1553 |
| Practice Telephone | 8174294198 |
| Practice Fax Number | 8665297014 |
| Mailing Telephone | 8174294198 |
| Mailing Fax Number | 8665297014 |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. APRIL MACLIN (ADMINISTRATOR) |
| Authorized Official Telephone | 8174294198 |
| Authorized Official Credential | LNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 000174 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakewood Village Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649662974 | Christian Care Centers, Inc. | Assisted Living Facility | 950 Wiggins Pkwy, Mesquite, TX 75150-1400 | 2015-02-24 |
| 1962780114 | Christian Care Centers, Inc. | Clinic/Center | 900 Wiggins Pkwy, Mesquite, TX 75150-1400 | 2011-07-21 |
| 1548251770 | Christian Care Centers, Inc. | Skilled Nursing Facility | 1000 Wiggins Pkwy, Mesquite, TX 75150-7465 | 2005-11-05 |
| 1831648278 | Christian Care Centers, Inc. | Clinic/Center | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2016-09-27 |
| 1376935601 | Christian Care Centers, Inc. | Assisted Living Facility | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2015-02-24 |
| 1548203011 | Christian Care Centers, Inc. | Hospice Care, Community Based | 1000 Wiggins Pkwy, Mesquite, TX 75150-7465 | 2006-06-13 |
| Street Address |
5100 RANDOL MILL RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942848858 | Dru Elizabeth Altheide | Speech-Language Pathologist | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2019-12-11 |
| 1811420094 | Lori Matthews | Occupational Therapist | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2017-04-05 |
| 1831648278 | Christian Care Centers, Inc. | Clinic/Center | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2016-09-27 |
| 1376935601 | Christian Care Centers, Inc. | Assisted Living Facility | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2015-02-24 |
| 1629195359 | Milton Pitts | Social Worker | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973404 | Moc Fort Worth LLC | Skilled Nursing Facility | 6301 Oakmont Blvd, Fort Worth, TX 76132-2814 | 2017-06-29 |
| 1669929642 | Eastland Memorial Hospital District | Skilled Nursing Facility | 4240 Golden Triangle Boulevard, Fort Worth, TX 76244 | 2016-09-07 |
| 1326594052 | Stockyards Healthcare, Inc. | Skilled Nursing Facility | 6301 Oakmont Boulevard, Fort Worth, TX 76132 | 2016-09-01 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1497172514 | Stephens Memorial Hospital District | Skilled Nursing Facility | 306 W 7th Strret Suite 430, Fort Worth, TX 76102 | 2014-03-26 |
| 1245662675 | Performance Care Centers LLC | Skilled Nursing Facility | 7021 Bryant Irvin Road, Fort Worth, TX 76132 | 2013-08-08 |
| 1881968808 | Fw Senior Community Ltd Co | Skilled Nursing Facility | 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900 | 2012-03-08 |
| 1750679098 | Tarrant County Senior Living Center, Inc. | Skilled Nursing Facility | 2501 Museum Way, Fort Worth, TX 76107-3057 | 2011-07-20 |
| 1386949220 | Remarkable Healthcare of Fort Worth, Lp | Skilled Nursing Facility | 6649 North Riverside Drive, Fort Worth, TX 76137 | 2011-01-25 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
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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.