Christian Care Centers, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000174 Issued in TX

Legal business name

CHRISTIAN CARE CENTERS, INC.

Doing business as

Lakewood Village Health Care Center

Practice address

5100 Randol Mill Rd
Fort Worth, TX 76112-1553

Phone

(817) 429-4198

Fax

(866) 529-7014

NPI assigned

Nov 5, 2005

Last updated

Aug 22, 2020By 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

Mrs. April Maclin, LNFA

Title

Administrator

Phone

(817) 429-4198

Specialties & licenses 1

Addresses

Other names 1

• Lakewood Village Health Care Center Doing business as

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184615312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RANDOL MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121553",
            "telephone_number": "817-429-4198",
            "fax_number": "866-529-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RANDOL MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121553",
            "telephone_number": "817-429-4198",
            "fax_number": "866-529-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACLIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-429-4198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "000174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Village Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Pratt DO PA
• Rodney Christal, R.PH.
• Sierra Christensen, PT, DPT
• Tiffani Christensen
• Bessie Ann Christenson, LPC
• Christian Care Centers, Inc. (Cummings Assisted Living)
• Christian Care Centers, Inc. (Christian Care Outpatient Therapy)
• Christian Faith Residential HCS Services LLC
• Darniece Christian Peoples, FNP-C
• Domonique Christian

• Skilled Nursing Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Skilled Nursing Facility in Texas

• 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.