Active NPI
Christian Care Communities, Inc.
Doing business as Christian Health Center Louisville
- Skilled Nursing Facility
- Louisville, KY
National Provider Identifier
1003952300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100200
- Legal business name
- CHRISTIAN CARE COMMUNITIES, INC.
- Doing business as
- Christian Health Center Louisville
- Practice address
- 920 S 4TH St
Louisville, KY 40203-3206 - Phone
- (502) 254-4200
- NPI assigned
- Jan 30, 2007
- Last updated
- May 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. W. Richard Marshall
- Title
- Vice President Cfo
- Phone
- (502) 254-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100200 | KY | Primary |
Addresses
Primary practice location
920 S 4TH St
Louisville, KY 40203-3206
Mailing address
12710 Townepark Way
Suite 1000
Louisville, KY 40243-2534
Phone (502) 254-4200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000054506 | Other | KY | ANTHEM BLUE CROSS |
| 12504528 | Medicaid | KY | |
| 2435838000 | Other | KY | PASSPORT |
Other names 1
- Christian Health Center Louisville
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Christian Health Center Bowling Green
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1205973500
Member Of
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurorehabilitation Occupational Therapist
- Prospect, KY
- NPI 1801042627
-
- Internal Medicine Physician
- Jeffersonville, IN
- NPI 1043216971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399852800000",
"number": "1003952300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12710 TOWNEPARK WAY",
"address_2": "SUITE 1000",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402432534",
"telephone_number": "502-254-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402033206",
"telephone_number": "502-254-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN CARE COMMUNITIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2014-05-12",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "W.",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "VICE PRESIDENT CFO",
"authorized_official_telephone_number": "502-254-4200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000054506",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12504528",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "2435838000",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Christian Health Center Louisville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
- Gabrielle Christensen, LCSW
- Isabella Christensen, LMT
- Joshua J Christensen, MD
- Margaret M Christensen, MED
- Rebecca Lyn Christensen, MD
- Christian Care Communities, Inc. (Pathways Louisville)
- Christian Care Communities, Inc. (Stepping Stones Communities)
- Christian Care Services Inc
- Christian Care Services, Inc. (Christian Care Communities Adult Day Center)
- Christian Health Center - West, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.