Organization Active NPI

Service for Life Inc

Doing business as CCH Chiropractic

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1417415449
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SERVICE FOR LIFE INC
Doing business as
CCH Chiropractic
Practice address
720 Dunlawton Ave Ste 200
Port Orange, FL 32127-4901
Phone
(386) 385-8807
Fax
(386) 888-1983
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Dr. Crist L Francisco, DCNPI 1821461229
Title
Owner/Chiropractor
Phone
(386) 385-8807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

720 Dunlawton Ave Ste 200
Port Orange, FL 32127-4901

Mailing address

178 Reena Dr
Daytona Beach, FL 32117-0009
Phone (386) 631-5627

Other names 1

  • CCH Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251008002444 FL Part B Supplier - Clinic/Group Practice 6204333974 Receives reassigned benefits from 1 practitioner
Practice locations: Port Orange, FL

National Provider Directory

National Provider Directory

Locations

720 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 385-8807

720 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 259-0402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1417415449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 REENA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321170009",
            "telephone_number": "386-631-5627",
            "fax_number": "386-888-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 DUNLAWTON AVE STE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274901",
            "telephone_number": "386-385-8807",
            "fax_number": "386-888-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE FOR LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "CRIST",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "386-385-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCH Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCH Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.