Organization Active NPI

Christian Care Counseling Center

  • Community Based Hospice Care Agency
  • Orlando, FL
National Provider Identifier
1043411044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
LCCC4613 Issued in FL
Legal business name
CHRISTIAN CARE COUNSELING CENTER
Practice address
3401 Lake Breeze Dr Ste 601-a
Orlando, FL 32808-3011
Phone
(407) 290-1609
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Juan C Amesty, CHRISTIAN COUNSELOR
Title
Counselor
Phone
(407) 290-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X LCCC4613 FL Primary

Addresses

Primary practice location

3401 Lake Breeze Dr Ste 601-a
Orlando, FL 32808-3011

Mailing address

3401 Lake Breeze Dr Ste 601-a
Orlando, FL 32808-3011
Phone (407) 290-1609

National Provider Directory

National Provider Directory

Locations

3401 Lake Breeze Dr
Ste 601A
Orlando, FL 32808
Phone (407) 290-1609

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043411044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 LAKE BREEZE DR STE 601-A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083011",
            "telephone_number": "407-290-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LAKE BREEZE DR STE 601-A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083011",
            "telephone_number": "407-290-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMESTY",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "407-290-1609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHRISTIAN COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "LCCC4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.