Christian Development Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CHRISTIAN DEVELOPMENT CENTER

Doing business as

Christian Development Center

Practice address

5080 Kingsley St
Montclair, CA 91763-3845

Phone

(909) 367-9093

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By 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

Mr. Donald Rucker

Title

Senior Pastor

Phone

(909) 367-9093

Specialties & licenses 1

Addresses

Other names 1

• Christian Development Center Doing business as

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1265270037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 KINGSLEY ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633845",
            "telephone_number": "909-367-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 KINGSLEY ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633845",
            "telephone_number": "909-367-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "SENIOR PASTOR",
        "authorized_official_telephone_number": "909-367-9093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Montclair, CA
• Providers in Montclair, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.