Organization Active NPI

Christian Community Inaction, Inc.

  • Home Health Agency
  • Bronx, NY
National Provider Identifier
1801967609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0876L001 Issued in NY
Legal business name
CHRISTIAN COMMUNITY INACTION, INC.
Practice address
910 E 172ND St
4TH Floor
Bronx, NY 10460-5802
Phone
(718) 542-5900
Fax
(718) 378-6886
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alfredo M. David
Title
Asst. Director Administrative
Phone
(718) 542-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0876L001 NY Primary

Addresses

Primary practice location

910 E 172ND St
4TH Floor
Bronx, NY 10460-5802

Mailing address

910 E 172ND St
4TH Floor
Bronx, NY 10460-5802
Phone (718) 542-5900

Other identifiers 1

IdentifierTypeStateIssuer
00921288MedicaidNY

National Provider Directory

National Provider Directory

Locations

910 E 172nd St
Fl 4
Bronx, NY 10460
Phone (718) 542-5900

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801967609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 172ND ST",
            "address_2": "4TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605802",
            "telephone_number": "718-542-5900",
            "fax_number": "718-378-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 172ND ST",
            "address_2": "4TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605802",
            "telephone_number": "718-542-5900",
            "fax_number": "718-378-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY INACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ASST. DIRECTOR ADMINISTRATIVE",
        "authorized_official_telephone_number": "718-542-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0876L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00921288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • 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.