Organization Active NPI

Christian Love and Touch Group Home LLC

  • Community Health Worker
  • Fort Pierce, FL
National Provider Identifier
1457720443
Registry record updated Sep 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
CHRISTIAN LOVE AND TOUCH GROUP HOME LLC
Practice address
165 Carol Susan LN
Fort Pierce, FL 34982-8340
Phone
(772) 206-5815
NPI assigned
Sep 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2015

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

Authorized official

Name
Mrs. Andrea S Brown
Title
Owner
Phone
(772) 206-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

165 Carol Susan LN
Fort Pierce, FL 34982-8340

Mailing address

165 Carol Susan LN
Fort Pierce, FL 34982-8340
Phone (772) 206-5815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442620800000",
    "number": "1457720443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CAROL SUSAN LN",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828340",
            "telephone_number": "772-206-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAROL SUSAN LN",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828340",
            "telephone_number": "772-206-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN LOVE AND TOUCH GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-206-5815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; 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.