NPIMap

Organization Active NPI

Christian Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
National Provider Identifier
1366860223
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRISTIAN COMMUNITY HEALTH SERVICES
Practice address
241 E Clifton Ave
Cincinnati, OH 45202-8905
Phone
(513) 381-2247
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Jamie Berrens
Title
Chief Financial Officer
Phone
(513) 707-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OH Primary

Addresses

Primary practice location

241 E Clifton Ave
Cincinnati, OH 45202-8905

Mailing address

5 E Liberty St
Cincinnati, OH 45202-8202
Phone (513) 381-2247

Other names 1

  • Rothenberg Preparatory Academy SBHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151209000355 OH Part A Provider - Federally Qualified Health Center (FQHC) 7517966211 Practice locations: Cincinnati, OH

Federally qualified health center certification: CCN 361089

Legal name
CHRISTIAN COMMUNITY HEALTH SERVICES
Doing business as
ROTHENBERG PREARATORY ACADEMY SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 7, 2015
Last certification
Dec 7, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1990 in OH
Enrollment address
241E Clifton Ave
Cincinnati, OH 45202-8905

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Christian Community Health7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Mark Norman Individual Corporate DirectorVice Chair Jun 1, 1993
Orson J Austin Individual Corporate DirectorChairman Jun 1, 2001
Roger Howell Individual Corporate DirectorDirector Jun 1, 2005
Monica Wilkins Individual Corporate DirectorDirector Jun 1, 1996
Celeste Dunlap Individual Corporate DirectorSecretary Feb 18, 2014
James J Berrens Individual Corporate OfficerCeo May 22, 2015
W-2 Managing EmployeeCeo May 22, 2015
Peter Tighe Individual Corporate DirectorTreasurer Jun 1, 1994
Katrina Lackey Individual Corporate DirectorDirector Jun 1, 1993
Janet N Germann Individual Corporate DirectorDirector Jun 1, 1992

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1366860223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E LIBERTY ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028202",
            "telephone_number": "513-381-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E CLIFTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028905",
            "telephone_number": "513-381-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "BERRENS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "513-707-5755"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rothenberg Preparatory Academy SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.