Christmas Group Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CHRISTMAS GROUP HOME, LLC

Practice address

4537 Decatur St
Marianna, FL 32446-3212

Phone

(850) 557-7148

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bobby Christmas Jr.

Title

Owner/Operator

Phone

(850) 557-7148

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1033043336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6353",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324476353",
            "telephone_number": "850-557-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 DECATUR ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463212",
            "telephone_number": "850-557-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTMAS GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTMAS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-557-7148",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004511400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chipola Home Health Care, Inc. (Vital Care of Marianna)
• Chipola Medical Associates, LLC
• Chipola Rehabilitative Services Inc
• Chipola Surgical and Medical Specialties
• Chris Fox LLC
• Richard M Christopher Jr., M.D.
• City of Marianna Office of City Clerk
• Kelly Ann Clana, LCSW
• Glenn L. Clark, M.D.
• Ellaretha Clemmons, LMHC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marianna, FL
• Providers in Marianna, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.