Chrisian Couny Manor LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

100064 Issued in KY

Legal business name

CHRISIAN COUNY MANOR LLC

Practice address

2820 Richard St
Hopkinsville, KY 42240-1670

Phone

(270) 886-9900

NPI assigned

Sep 17, 2015

Last updated

Sep 17, 2015By 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

Maria Marinez

Title

Administraor

Phone

(270) 886-9900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1467821769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 RICHARD STREET",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-886-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 RICHARD ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401670",
            "telephone_number": "270-886-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISIAN COUNY MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MARINEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRAOR",
        "authorized_official_telephone_number": "270-886-9900"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "KY",
            "license": "100064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Childers
• Bridget Chinn, DPT
• Veerabhadra R Chirravuri, MD
• Christie Choate, COTA/L
• David I Chorost, MD
• Niklaus Ryker Kallum Christensen
• Christian Care Communities, Inc. (Hopkinsville Pharmacy)
• Christian Care Communities, Inc. (Christian Health Center Hopkinsville)
• Christian Co Anesthesia
• Christian County Anesthesia, PLLC

• Custodial Care Facility in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Custodial Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.