Christian Care Nursing Center Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCIR332 Issued in AZ

Legal business name

CHRISTIAN CARE NURSING CENTER INC.

Practice address

11812 N 19TH Ave
Phoenix, AZ 85029-3536

Phone

(602) 861-3241

Fax

(602) 943-6459

NPI assigned

Sep 1, 2005

Last updated

Jan 8, 2010By 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. John S Norris

Title

Chief Executive Officer

Phone

(602) 443-5411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356335632. Details of each certification follow.

• CCN 035173 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 035173

Legal name

CHRISTIAN CARE NURSING CENTER INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 13, 1988

Last certification

Aug 27, 2024

Beds

20

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 30, 1976 in AZ

Enrollment address

11812 N 19TH Ave
Phoenix, AZ 85029-3536

Nursing home name

CHRISTIAN CARE NURSING CENTER

Listed as

Christian Care Nursing CenterCCN 035173 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 13, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

207.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Christian Care Nursing Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Christian Care Nursing Center Inc.

  • Skilled Nursing Facility
  • Tucson, AZ
  • NPI 1639511728
  NPD tax ID
• Christian Care Nursing Center, Inc.

  dba Christian Care Outpatient Rehab Center

  • Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1174928618
  NPD tax ID
• Christian Care Nursing Center, Inc.

  dba Historic Mesa Outpatient Rehab Clinic

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1871998799
  NPD tax ID

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Home Health Care, Inc.

  dba Covenant Home Health

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1093025439

  Christian Care Managment Inc

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Matthew Theodore Stuart, DO

  • Internal Medicine Physician
  • Flagstaff, AZ
  • NPI 1851824163

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1356335632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850713210",
            "telephone_number": "602-861-3241",
            "fax_number": "602-943-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293536",
            "telephone_number": "602-861-3241",
            "fax_number": "602-943-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE NURSING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-443-5411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCIR332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040270",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ole Christensen, BHT
• Richard E Christensen, PA
• Melissa Sue Christenson, CNM, WHNP-BC
• Christian Care Assisted Living (Phoenix), Inc. (The Oasis)
• Christian Care Nursing Center Inc. (Christian Care Home Health Agency)
• Christian Care Nursing Center, Inc. (Christian Care Outpatient Rehab Center)
• Christian Counseling Care, PLLC.
• Christian Family Care
• Christian Family Care Agency, Inc.
• Christian Family Services

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.