St. Christopher Episcopal Church

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ST. CHRISTOPHER EPISCOPAL CHURCH

Practice address

1501 N Broad St
Fairborn, OH 45324-5575

Phone

(937) 477-5728

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By 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

Stephen Geoffrey Buckner

Title

Director of Operations

Phone

(937) 477-5728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1790520013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1026",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241026",
            "telephone_number": "937-477-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453245575",
            "telephone_number": "937-477-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHRISTOPHER EPISCOPAL CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "937-477-5728"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jed Andre Speers
• Logan Sperl
• Samantha J Spitz, CNP
• Jennifer Lee Sprouse
• Jennifer Nichole Spurgeon, RD LD
• Tiarra Stallworth
• Philip Richard Steiner, MD
• Carrie Louise Stevens
• Elizabeth Stevens, DTR, IBCLC
• Kimberly Stevenson

• Developmentally Disabled Services Day Training Agency in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.