CITY CHURCH LIVE IN CENTER
NPI 1437510542
Substance Abuse Rehabilitation Facility in Fairfield, CA

Q: What is City Church 242's NPI number?

The NPI number for City Church 242 is 1437510542. It was assigned to this organization in the NPPES registry on March 16, 2016. The provider is doing business as City Church Live In Center.

Q: What is City Church 242's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for City Church 242 was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2016

743 E TABOR AVE, FAIRFIELD, CA 94533(707) 426-2172 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About City Church Live In Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY CHURCH LIVE IN CENTER (NPI 1437510542) is a healthcare organization registered as a substance abuse rehabilitation facility in Fairfield, California and active in the NPI registry since March 2016. The organization lists Scott Mulvey, Executive Director / Pastor, as its authorized official.

NPPES Registry Identity

NPI1437510542

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCITY CHURCH 242

Location Address743 E TABOR AVEFairfield, CA 94533-4046

Mailing Address743 E Tabor AveFairfield, CA 94533-4046 · (707) 426-2172

Phone(707) 426-2172

Organization SubpartYesParent: Grace International Ministries

Authorized OfficialScott MulveyExecutive Director / Pastor · (707) 426-2172

Enumeration DateMarch 16, 2016

✔ NPI 1437510542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

743 E TABOR AVE, Fairfield, CA 94533

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Other Names 1

Doing Business AsCity Church Live In Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIARA FAULKNER

Behavior Technician

743 E TABOR AVE
FAIRFIELD, CA 94533

Solano County (707) 673-6556

BRIANNA J SMITH

Counselor

743 E TABOR AVE
FAIRFIELD, CA 94533

Solano County (707) 384-7485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Church 242's NPI number?

The NPI number for City Church 242 is 1437510542. It was assigned to this organization in the NPPES registry on March 16, 2016. The provider is doing business as City Church Live In Center.

Where is City Church 242 located?

City Church 242 is located at 743 E Tabor Ave, Fairfield, CA 94533. The listed phone number is (707) 426-2172.

What is City Church 242's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for City Church 242 was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.