Christian Care Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030395 Issued in MO

Legal business name

CHRISTIAN CARE HOME

Practice address

800 Chambers Rd
Ferguson, MO 63135-2133

Phone

(314) 522-8100

Fax

(314) 522-2334

NPI assigned

Aug 31, 2006

Last updated

Jan 6, 2012By 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

Ms. Charlotte Fink

Title

Administrator

Phone

(314) 522-8100

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1720190788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHAMBERS RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352133",
            "telephone_number": "314-522-8100",
            "fax_number": "314-522-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHAMBERS RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352133",
            "telephone_number": "314-522-8100",
            "fax_number": "314-522-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-522-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030395",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MO",
            "license": "4842620001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101483501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dorothy N Charles, MD
• Basudev Chaudhary, M.B.B.S
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• Terri Charisse Coble, M.D.
• Vernetta D Collard
• Christina Criddle, RN
• CWC CDS LLC (Caring With Comfort Home Health)

• Skilled Nursing Facility in Ferguson, MO
• Providers in Ferguson, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.