Organization Active NPI

Christian Faith Inc.

  • Voluntary or Charitable Agency
  • Goodyear, AZ
National Provider Identifier
1720391899
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CHRISTIAN FAITH INC.
Doing business as
Community Care Center
Practice address
245 N. Litchfield Rd.
#143
Goodyear, AZ 85338
Phone
(623) 377-0734
NPI assigned
Jul 19, 2010
Organization subpart
Yes
Parent organization
CHRISTIAN FAITH INC./COMMUNITY CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. J Mitcalf Sr.
Title
Director
Phone
(623) 377-0734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

245 N. Litchfield Rd.
#143
Goodyear, AZ 85338

Mailing address

245 N. Litchfield Rd.
#143
Goodyear, AZ 85338
Phone (623) 377-0734

Other names 1

  • Community Care Center Doing business as

National Provider Directory

National Provider Directory
Part of
Christian Faith Inc

Locations

245 N Litchfield Rd
Goodyear, AZ 85338
Phone (623) 377-0734

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1720391899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N. LITCHFIELD RD.",
            "address_2": "#143",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-377-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N. LITCHFIELD RD.",
            "address_2": "#143",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-377-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAITH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN FAITH INC./COMMUNITY CARE CENTER",
        "enumeration_date": "2010-07-19",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "MITCALF",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-377-0734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.