Christian Care Center of Johnson City, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000388 Issued in TN

Legal business name

CHRISTIAN CARE CENTER OF JOHNSON CITY, INC.

Practice address

140 Technology Lane
Johnson City, TN 37604

Phone

(423) 434-2016

Fax

(423) 926-0812

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa M Cawood

Title

Risk Manager

Phone

(423) 773-4485

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1295920890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TECHNOLOGY LANE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-434-2016",
            "fax_number": "423-926-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TECHNOLOGY LANE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-434-2016",
            "fax_number": "423-926-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CENTER OF JOHNSON CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "CAWOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "423-773-4485",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000388",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440605",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiro-Health, L.L.C.
• Choice Counseling, LLC
• Karen Choquette, DPH
• Natalee Marion Chornak, PHARMD
• Christian Assisted Living of Johnson City LLC
• Christian Home for the Aged, Inc.
• Felicia Christian
• Lori A Christian, CRNA
• Mary L Christian, FNP
• Melisha Dawn Christian, NP-C

• Skilled Nursing Facility in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.