CHRISTIAN CARE OUTPATIENT REHAB CENTER
NPI 1174928618
Clinic/Center - Rehabilitation in Phoenix, AZ
Overall Rating: 1 out of 5 stars
NPI Status: Active since October 27, 2014
Contact Information
11830 N 19TH AVE
SUITE 101
PHOENIX, AZ
ZIP 85029
Phone: (602) 443-5447
Fax: (602) 443-5449
- Organization
- Clinic/Center
- Rehabilitation
- CLIA Number: 03D2306490
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-18-2026
About CHRISTIAN CARE OUTPATIENT REHAB CENTER
This page provides the complete NPI Profile along with additional information for Christian Care Outpatient Rehab Center, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1174928618 assigned on October 2014. The practitioner's primary taxonomy code is 261QR0400X with license number OTC4861 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Christian Care Outpatient Rehab Center. The authorized official of this NPI record is Kathy Loscheider Mba (Executive Director)
- NPI
- 1174928618
- Provider Legal Name
- CHRISTIAN CARE NURSING CENTER, INC.
- Other Organization Name
- CHRISTIAN CARE OUTPATIENT REHAB CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11830 N 19TH AVE SUITE 101 PHOENIX, AZ 85029
- Location Phone
- (602) 443-5447
- Location Fax
- (602) 443-5449
- Mailing Address
- 11812 N 19TH AVE PHOENIX, AZ 85029
- Mailing Phone
- (602) 443-5400
- Mailing Fax
- (602) 443-5449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-27-2014
- Last Update Date
- 10-27-2014
- Code Navigator
According to the Nursing Home Compare program data, Christian Care Outpatient Rehab Center has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- OTC4861
- License State
- AZ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | OTC4861 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| OTC4861 | OTHER (01) | AZ | ADHS |
Nursing Home Quality Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
| Overall Quality Rating | Not Available |
| The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures. | |
| Health Inspection Rating | Not Available |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Quality Measures Rating | Not Available |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Long-Stay Quality Measures Rating | Not Available |
| The long-stay quality of care rating is based on the quality of care delivered to long-term residents only. *Not enough data available to calculate a star rating. | |
| Short-Stay Quality Measures Rating | Not Available |
| The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. *Not enough data available to calculate a star rating. | |
| Staffing Rating | - 1 out of 5 stars - Much Below Average |
| The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides. *This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit. | |
| Nurse Aide Staffing Hours | 0 hours per resident per day |
| Nurse aide hours per resident per day. Higher number of hours are better. | |
| RN Staffing Hours | 0 hours per resident per day |
| Resgistered nurse hours per resident per day. Higher number of hours are better. | |
| Ownership Type | Non profit - Corporation |
| Is the facility private for profit, not-for profit or publicly owned. | |
| Number of Certified Beds | 68 beds |
| Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs. | |
| Residents per Day | 4 residents |
| Average number of residents living in the facility per day. | |
| Automatic Sprinkler Systems | Yes |
| Does the facility have automatic sprinkler systems in all required areas? | |
| Facility Reported Incidents | 3 incidents |
| Number of facility-reported incidents in the past 3 years. A lower number is better. | |
| Substantiated Complaints | 3 complaints |
| Number of substantiated complaints in the past 3 years. A lower number is better. | |
| Citations from Inspections | citations after infection control inspection |
| Number of citations from infection control inspections in the past 3 years. A lower number is better. | |
| Total Number of Penalties | 2 penalties from a serious health, fire safety or long-term unresolved citation |
| The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time. | |
| Number of Fines | 2 fines |
| Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare. | |
| Amount of Fines | $1644.50 |
| Total monetary amount of fine imposed on the facility in the last 3 years. | |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2306490
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 19, 2024
- Certificate Expiration Date
- June 18, 2026
- Laboratory Director
- KRISTIE LARSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Christian Care Outpatient Rehab Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174928618, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174928618, enumerated as an "organization" on October 27, 2014.
The provider is located at 11830 N 19TH AVE SUITE 101 PHOENIX, AZ 85029 and the phone number is (602) 443-5447.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
