Christian Nursing

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

272421 Issued in NY

Legal business name

CHRISTIAN NURSING

Practice address

25 Elan LN
Ronkonkoma, NY 11779-1990

Phone

(631) 696-0404

NPI assigned

Aug 16, 2012

Last updated

Aug 16, 2012By 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

Mrs. Colleen Melville-Tavantzis, LPN

Title

LPN

Phone

(631) 241-6063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1386992634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELAN LN",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117791990",
            "telephone_number": "631-696-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELAN LN",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117791990",
            "telephone_number": "631-696-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "MELVILLE-TAVANTZIS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "631-241-6063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "272421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Nursing Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.