Organization Active NPI

Christian Care Nursing Center Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1306159017
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4807 Issued in AZ
Legal business name
CHRISTIAN CARE NURSING CENTER INC.
Practice address
11830 N. 19TH Ave.
Phoenix, AZ 85029
Phone
(602) 443-5447
Fax
(602) 424-9447
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA4807 AZ Primary

Addresses

Primary practice location

11830 N. 19TH Ave.
Phoenix, AZ 85029

Mailing address

11830 N. 19TH Ave
#101
Phoenix, AZ 85029
Phone (602) 443-5447

Other identifiers 1

IdentifierTypeStateIssuer
HHA4807OtherAZAZ DEPT HEALTH SERVICES

Other names 1

  • Christian Care Home Health Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1306159017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 N. 19TH AVE",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-443-5447",
            "fax_number": "602-424-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 N. 19TH AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-443-5447",
            "fax_number": "602-424-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE NURSING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-09-20",
        "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_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT HEALTH SERVICES",
            "identifier": "HHA4807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Home Health Agency",
            "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 Sep 20, 2010; 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.