Christian Family Care Home

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

FCL090015 Issued in NC

Legal business name

CHRISTIAN FAMILY CARE HOME

Practice address

429 E Franklin St
Monroe, NC 28112-5601

Phone

(704) 218-6457

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Ella Hood

Title

Owner

Phone

(704) 218-6457

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740337385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125601",
            "telephone_number": "704-218-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125601",
            "telephone_number": "704-218-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-218-6457"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "FCL090015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulina Chavez, PT, DPT
• Matthew Chavis, D. C.
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• Lakshmi Hasitha Chennu
• Leslie Chew, MS, CCC-SLP
• Circle Medical Associates PA
• Karynton Janelle Clark
• Katherine Clark, PT
• Madeline Ann Clark, PHARMD
• Sadye E. Claxton

• Clinic/Center in Monroe, NC
• Providers in Monroe, NC by specialty
• Clinic/Center in North Carolina

• 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.