Organization Active NPI

Christian Community Deliverance Church

  • Home Health Agency
  • Apple Valley, MN
National Provider Identifier
1518405083
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4315 Issued in MN
Legal business name
CHRISTIAN COMMUNITY DELIVERANCE CHURCH
Practice address
13421 Cedar Ave
Apple Valley, MN 55124-8530
Phone
(612) 275-5132
NPI assigned
Feb 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Authorized official

Name
Millicent Sawyerr
Title
Prsident
Phone
(612) 275-5132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4315 MN Primary

Addresses

Primary practice location

13421 Cedar Ave
Apple Valley, MN 55124-8530

Mailing address

13421 Cedar Ave
Apple Valley, MN 55124-8530
Phone (612) 275-5132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1518405083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 CEDAR AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248530",
            "telephone_number": "612-275-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 CEDAR AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248530",
            "telephone_number": "612-275-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY DELIVERANCE CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "SAWYERR",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "612-275-5132"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.