Organization Active NPI

Christian Care Communities, Inc.

Doing business as Christian Health Center Louisville

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1003952300
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100200 Issued in KY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000054506OtherKYANTHEM BLUE CROSS
12504528MedicaidKY
2435838000OtherKYPASSPORT

Other names 1

  • Christian Health Center Louisville Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.