Organization Active NPI

Church Family Enterprises LLC

  • Massage Therapist
  • Boca Raton, FL
National Provider Identifier
1831532027
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM24970 Issued in FL
Legal business name
CHURCH FAMILY ENTERPRISES LLC
Practice address
5030 Champion Blvd Ste D7
Boca Raton, FL 33496-2497
Phone
(561) 241-6690
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Michael Church, LMT
Title
Owner
Phone
(561) 241-6690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM24970 FL Primary

Addresses

Primary practice location

5030 Champion Blvd Ste D7
Boca Raton, FL 33496-2497

Mailing address

5030 Champion Blvd Ste D7
Boca Raton, FL 33496-2497
Phone (561) 241-6690

Other names 1

  • Elements Therapeutic Massage-Boca Raton Former legal business name

National Provider Directory

National Provider Directory

Locations

5030 Champion Blvd
Ste D7
Boca Raton, FL 33496
Phone (561) 241-6690

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1831532027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD STE D7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962497",
            "telephone_number": "561-241-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD STE D7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962497",
            "telephone_number": "561-241-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH FAMILY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-241-6690",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM24970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage-Boca Raton",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.