Christian Church Homes Children'S and Family Services, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

04000006 Issued in KY

Legal business name

CHRISTIAN CHURCH HOMES CHILDREN'S AND FAMILY SERVICES, INC.

Doing business as

Community Youth Home - East

Practice address

1151 Perryville Rd
Danville, KY 40422-1306

Phone

(859) 236-5507

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. W Richard Marshall

Title

Vice President Cfo

Phone

(502) 254-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Youth Home - East Doing business as

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699891523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE CUMBERLAND BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 PERRYVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221306",
            "telephone_number": "859-236-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CHURCH HOMES CHILDREN'S AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "502-254-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "04000006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04000006",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Youth Home - East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca P Chatham, MD
• Choiceone Diagnostics, LLC
• Chris Bostick DMD PLLC
• Chris Bostick, DMD,PLLC
• Christian Care Communities, Inc.
• Jonathan Clark, M.D.
• Natasha Clements, LPCC
• Susan Alexandra Cliburn Arnold, LCSW
• Charles Frederick Closson
• Heather S Cocanougher, BA, PE

• Psychiatric Residential Treatment Facility in Danville, KY
• Providers in Danville, KY by specialty
• Psychiatric Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.