Organization Active NPI

Christian Grace Ministries, Inc.

  • Case Management Agency
  • Moreno Valley, CA
National Provider Identifier
1124827860
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHRISTIAN GRACE MINISTRIES, INC.
Practice address
11875 Pigeon Pass Rd # 1076
Moreno Valley, CA 92557-6039
Phone
(800) 355-4615
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Lawrence FloydNPI 1891676748
Title
Executive Director
Phone
(800) 355-4615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

11875 Pigeon Pass Rd # 1076
Moreno Valley, CA 92557-6039

Mailing address

11875 Pigeon Pass Rd # 1076
Moreno Valley, CA 92557-6039
Phone (800) 355-4615

National Provider Directory

National Provider Directory

Locations

11875 Pigeon Pass Rd
#1076
Moreno Valley, CA 92557
Phone (800) 355-4615

Practitioners & affiliated clinicians

Practitioners 1

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": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1124827860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD # 1076",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576039",
            "telephone_number": "800-355-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD # 1076",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576039",
            "telephone_number": "800-355-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN GRACE MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-355-4615"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.