NPIMap

Organization Active NPI

Christian Care Nursing Center, Inc.

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1871998799
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
OTC5456 Issued in AZ
Legal business name
CHRISTIAN CARE NURSING CENTER, INC.
Practice address
155 W Brown Rd
Mesa, AZ 85201-3427
Phone
(480) 290-7952
Fax
(480) 398-2727
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Ms. Kathy Loscheider, MBA
Title
Executive Director
Phone
(602) 443-5439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OTC5456 AZ Primary
Rehabilitation Clinic/Center 261QR0400X OTC5456 AZ

Addresses

Primary practice location

155 W Brown Rd
Mesa, AZ 85201-3427

Mailing address

PO Box 83210
Phoenix, AZ 85071-3210
Phone (602) 443-5439

Other identifiers 1

IdentifierTypeStateIssuer
OTC5456OtherAZADHS LICENSE

Other names 1

  • Historic Mesa Outpatient Rehab Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Care Nursing Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1871998799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850713210",
            "telephone_number": "602-443-5439",
            "fax_number": "602-443-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013427",
            "telephone_number": "480-290-7952",
            "fax_number": "480-398-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "LOSCHEIDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-443-5439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTC5456",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "OTC5456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS LICENSE",
            "identifier": "OTC5456",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Historic Mesa Outpatient Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.