NPIMap

Organization Active NPI

Christian Care Communities, Inc.

Doing business as Pathways Louisville

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Louisville, KY
National Provider Identifier
1093831992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
33900762 Issued in KY
Legal business name
CHRISTIAN CARE COMMUNITIES, INC.
Doing business as
Pathways Louisville
Practice address
12700 Shelbyville Rd
The Cumberland Building
Louisville, KY 40243-1576
Phone
(502) 254-4261
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. W Richard Marshall
Title
Vice President Cfo
Phone
(502) 254-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 33900762 KY Primary

Addresses

Primary practice location

12700 Shelbyville Rd
The Cumberland Building
Louisville, KY 40243-1576

Mailing address

12700 Shelbyville Rd
The Cumberland Building
Louisville, KY 40243-1576

Other identifiers 1

IdentifierTypeStateIssuer
33900762MedicaidKY

Other names 1

  • Pathways Louisville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Care Communities12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093831992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE CUMBERLAND BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE CUMBERLAND BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576",
            "telephone_number": "502-254-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE COMMUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": "33900762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33900762",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways 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 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.