CHRISTIAN CARE CENTERS, INC. (NPI# 1831648278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831648278 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CARE CENTERS, INC. |
| Other Organization Name | CHRISTIAN CARE OUTPATIENT THERAPY |
| Practice Address |
5100 Randol Mill Rd Fort Worth TX 76112-1553 |
| Practice Telephone | 8175483258 |
| Practice Fax Number | 8665293789 |
| Mailing Telephone | 8175483258 |
| Mailing Fax Number | 8665293789 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | MR. MARK SPENCER (CIO) |
| Authorized Official Telephone | 9726862430 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIAN CARE CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Christian Care Outpatient Therapy | 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 |
| 1184615312 | Christian Care Centers, Inc. | Skilled Nursing Facility | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2005-11-05 |
| 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 |
|---|---|---|---|---|
| 1184615312 | Christian Care Centers, Inc. | Skilled Nursing Facility | 5100 Randol Mill Rd, Fort Worth, TX 76112-1553 | 2005-11-05 |
| 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 |
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
| 1386157394 | Neurological Recovery for The Armed Services | Clinic/Center | 6913 Camp Bowie Blvd Ste 177, Fort Worth, TX 76116-7169 | 2017-11-13 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1235338153 | Pedi Spot LLC | Clinic/Center | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2007-07-11 |
| 1932455284 | Autistic Treatment Center Inc | Clinic/Center | 1100 Circle Dr, Ste. 101, Fort Worth, TX 76119-8111 | 2012-07-24 |
| 1053566273 | Chirotech, Inc | Clinic/Center | 4830 South Fwy, Fort Worth, TX 76115-3901 | 2008-12-02 |
| 1720247844 | David Back Clinic of America Inc | Clinic/Center | 3800 Hulen St, Suite 110, Fort Worth, TX 76107-7276 | 2008-06-04 |
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|---|---|---|---|---|
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| 1528672391 | Pro Rehab One LLC | Clinic/Center | 1929 W Us Highway 83, Rio Grande City, TX 78582-6313 | 2020-08-31 |
| 1538772488 | Optimum Kids Ltd | Clinic/Center | 1240 E Business 83 Ste A, Mission, TX 78572-9600 | 2020-08-28 |
| 1366055998 | Workfit Recovery Centre | Clinic/Center | 800 W Airport Fwy Ste 630, Irving, TX 75062-6268 | 2020-08-24 |
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1013528231 | Feel Free Pt | Clinic/Center | 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 | 2020-08-11 |
| 1285259945 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 2306 Rayford Rd Ste 200, Spring, TX 77386-1707 | 2020-06-09 |
| 1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| 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.