NPIMap

Organization Active NPI

Christian Family Care Agency, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1215966148
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-1514 Issued in AZ
Legal business name
CHRISTIAN FAMILY CARE AGENCY, INC.
Practice address
2346 N Central Ave
Phoenix, AZ 85004-1329
Phone
(602) 922-0630
Fax
(602) 234-0022
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Mr. Bandon Jones, LPC MAPC
Title
Director of Clinical Services
Phone
(602) 396-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-1514 AZ Primary

Addresses

Primary practice location

2346 N Central Ave
Phoenix, AZ 85004-1329

Mailing address

2346 N Central Ave
Phoenix, AZ 85004-1329
Phone (602) 922-0630

Other identifiers 1

IdentifierTypeStateIssuer
529612OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Christian Family Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3603 N 7th Ave
Phoenix, AZ 85013
Phone (602) 234-1935

2346 N Central Ave
Phoenix, AZ 85004
Phone (602) 234-1935

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1215966148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041329",
            "telephone_number": "602-922-0630",
            "fax_number": "602-562-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041329",
            "telephone_number": "602-922-0630",
            "fax_number": "602-234-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAMILY CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BANDON",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "602-396-2722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC MAPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "529612",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 28, 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.