Christian Care Facility Home Health Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHRISTIAN CARE FACILITY HOME HEALTH CARE AGENCY

Practice address

6407 Detroit St
Mount Morris, MI 48458-2323

Phone

(810) 686-8821

NPI assigned

Mar 20, 2008

Last updated

Mar 20, 2008By 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

Shaneen Charese Bonner

Title

Owner/Adm

Phone

(810) 686-8821

Specialties & licenses 1

Addresses

Other names 1

• Christian Care Facility LLC Other name

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1730350463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 DETROIT ST",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484582323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 DETROIT ST",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484582323",
            "telephone_number": "810-686-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE FACILITY HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "SHANEEN",
        "authorized_official_middle_name": "CHARESE",
        "authorized_official_title_or_position": "OWNER/ADM",
        "authorized_official_telephone_number": "810-686-8821"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Facility LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Mount Morris, MI
• Providers in Mount Morris, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.