NPIMap

Organization Active NPI

Christian Care Nursing Center, Inc.

  • Rehabilitation Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1174928618
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OTC4861 Issued in AZ
Legal business name
CHRISTIAN CARE NURSING CENTER, INC.
Practice address
11830 N 19TH Ave
Suite 101
Phoenix, AZ 85029-3519
Phone
(602) 443-5447
Fax
(602) 443-5449
NPI assigned
Oct 27, 2014
Organization subpart
Yes
Parent organization
CHRISTIAN CARE NURSING CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Kathy Loscheider, MBA
Title
Executive Director
Phone
(602) 443-5439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OTC4861 AZ
Rehabilitation Clinic/Center 261QR0400X OTC4861 AZ Primary

Addresses

Primary practice location

11830 N 19TH Ave
Suite 101
Phoenix, AZ 85029-3519

Mailing address

11812 N 19TH Ave
Phoenix, AZ 85029-3536
Phone (602) 443-5400

Other identifiers 1

IdentifierTypeStateIssuer
OTC4861OtherAZADHS

Other names 1

  • Christian Care Outpatient Rehab Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Care Nursing Center Inc4 organizations share this tax ID, including this one
Part of
Christian Care Nursing Center Inc

Other organizations with this tax ID 3

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": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1174928618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293536",
            "telephone_number": "602-443-5400",
            "fax_number": "602-443-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 N 19TH AVE",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293519",
            "telephone_number": "602-443-5447",
            "fax_number": "602-443-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE NURSING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN CARE NURSING CENTER, INC",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "LOSCHEIDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-443-5439",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTC4861",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "OTC4861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS",
            "identifier": "OTC4861",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Outpatient Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.