Organization Active NPI

Christian Apostolic Community House

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1487015442
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15-CRM-136 Issued in OR
Legal business name
CHRISTIAN APOSTOLIC COMMUNITY HOUSE
Practice address
13232 SE Stark St
Suite 4
Portland, OR 97233-1573
Phone
(971) 282-6049
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Mrs. Mischelle Renee Plunkett, CRM, TRAD.HEALTH WKR
Title
Own/Founder/Mentor
Phone
(971) 282-6049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X THW0298 OR
Community/Behavioral Health Agency 251S00000X 15-CRM-136 OR Primary

Addresses

Primary practice location

13232 SE Stark St
Suite 4
Portland, OR 97233-1573

Mailing address

13232 SE Stark St
Suite 4
Portland, OR 97233-1573
Phone (971) 282-6049

Other names 1

  • CACH Services Other name

National Provider Directory

National Provider Directory

Locations

13232 SE Stark St
Ste 4
Portland, OR 97233
Phone (503) 408-7578

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1487015442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13232 SE STARK ST",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331573",
            "telephone_number": "971-282-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 SE STARK ST",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331573",
            "telephone_number": "971-282-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN APOSTOLIC COMMUNITY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "PLUNKETT",
        "authorized_official_first_name": "MISCHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWN/FOUNDER/MENTOR",
        "authorized_official_telephone_number": "971-282-6049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRM, TRAD.HEALTH WKR"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": "THW0298",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "15-CRM-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CACH Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.