Christian Care Centers, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHRISTIAN CARE CENTERS, INC.

Doing business as

Christian Care Outpatient Therapy

Practice address

5100 Randol Mill Rd
Fort Worth, TX 76112-1553

Phone

(817) 548-3258

Fax

(866) 529-3789

NPI assigned

Sep 27, 2016

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CHRISTIAN CARE CENTERS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Spencer

Title

Cio

Phone

(972) 686-2430

Specialties & licenses 1

Addresses

Other names 1

• Christian Care Outpatient Therapy Doing business as

Part of

Christian Care Centers

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1831648278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RANDOL MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121553",
            "telephone_number": "817-548-3258",
            "fax_number": "866-529-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RANDOL MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121553",
            "telephone_number": "817-548-3258",
            "fax_number": "866-529-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN CARE CENTERS, INC.",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "972-686-2430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Christensen, PT, DPT
• Tiffani Christensen
• Bessie Ann Christenson, LPC
• Christian Care Centers, Inc. (Lakewood Village Health Care Center)
• Christian Care Centers, Inc. (Cummings Assisted Living)
• Christian Faith Residential HCS Services LLC
• Darniece Christian Peoples, FNP-C
• Domonique Christian
• Farrah Christian, FNP-C
• Brandon Lee Christianson, M.D.

• Rehabilitation Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.