Christian Care Concept, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CHRISTIAN CARE CONCEPT, LLC

Practice address

575 S Jefferson St
Dixon, CA 95620-3827

Phone

(707) 678-1651

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Porter Mills, MBA

Title

Director, Operations

Phone

(415) 728-3317

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Solano Life House Doing business as

Locations

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1497313175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S JEFFERSON ST",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203827",
            "telephone_number": "707-678-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S JEFFERSON ST",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203827",
            "telephone_number": "707-678-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CONCEPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "PORTER",
        "authorized_official_title_or_position": "DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "415-728-3317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "486801928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solano Life House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Rose Cames, M.A., CCC-SLP
• Douglas Carr, CADC-I
• Central Valley Physical Therapy, a Professional Corporation
• Komal Preet Cheema, DDS
• Chin-Ling Chen, MS RD
• Chunhua Chilton DDS Inc
• City of Dixon - Fire Department
• Sidney Todd Comm, DDS
• Community Medical Centers, Inc
• Community Medical Centers, Inc.

• Adult Care Home Facility in Dixon, CA
• Providers in Dixon, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.