CHRISTIAN COMMUNITY PLACEMENT CENTER NPI 1700194875

Foster Care Agency in Salem, OR

Organization Foster Care Agency

About CHRISTIAN COMMUNITY PLACEMENT CENTER

Christian Community Placement Center is a provider established in Salem, Oregon specializing in foster care agency. The NPI number of Christian Community Placement Center is 1700194875 and was assigned on September 2010. The practitioner's primary taxonomy code is 253J00000X with license number 172V00000X (OR). The provider is registered as an organization and their NPI record was last updated 9 years ago.
The authorized official of this NPI record is Miss Kristine Adaila Darby (Administrative Assisstant)

NPI

1700194875

Provider NameCHRISTIAN COMMUNITY PLACEMENT CENTER
Provider Location Address4890 32ND AVE SE SALEM, OR 97317
Provider Mailing Address4890 32ND AVE SE SALEM, OR 97317
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-22-2010
Last Update Date09-22-2010

Primary Taxonomy

Taxonomy Code253J00000X
ClassificationFoster Care Agency
TypeAgencies
License No.172V00000X
License StateOR
Taxonomy DescriptionA Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Business Address

CHRISTIAN COMMUNITY PLACEMENT CENTER
4890 32ND AVE SE
SALEM, OR
ZIP 97317
Phone: (503) 588-5647

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Mailing Address

CHRISTIAN COMMUNITY PLACEMENT CENTER
4890 32ND AVE SE
SALEM, OR
ZIP 97317
Phone: (503) 588-5647

Authorized Official

Authorized Official NameMISS KRISTINE ADAILA DARBY
Authorized Official TitleADMINISTRATIVE ASSISSTANT
Authorized Official Phone(503) 588-5647

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003246653 DELLA M RADKE QMHA
Individual
Behavioral Analyst4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1215241468MS. SUMMER RENEE TODD M.A.
Individual
Counselor (Mental Health)4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1255724860 HUNTER HOOVER
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1285024174 MYRA HART
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1306147442MR. GARTH LUDWICK TAFT
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1316361934 JOVANY LOPEZ
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1396059531 KATHERINE ELAINE CHRISTOPHERSON M.A.
Individual
Counselor (Mental Health)4890 32ND AVE SE
SALEM, OR 97317
(503) 551-7985
1417363045 JEFFREY PAUL DETERING
Individual
Case Manager/Care Coordinator4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1437589405 KIMBERLY MAXWELL
Individual
Case Manager/Care Coordinator4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1487042107 CHESTER TAYLOR
Individual
Counselor (Mental Health)4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1609915743MS. SHARON LEE HOEVET B.S., CADC II, CHW
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1619240587 BRYAN H HODSON
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1659707107MR. COREY ALLEN WINSLOW B.S. QMHA
Individual
Case Manager/Care Coordinator4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1659707420MR. JOSEPH RAYMOND IVERS M.A.
Individual
Counselor (Mental Health)4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1730418740MR. JEFFREY R DORAN B.S., Q.M.H.A.
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1730581208MISS JODI MARIE HAMRE QMHA, B.S.
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1790058675MISS MEGAN RENEE GERECKE
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1891188355 STEPHANIE BOYD
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1952725574 RICHARD RIFFLE
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647
1972936136 EMILY SENTER BS, QMHA
Individual
Community Health Worker4890 32ND AVE SE
SALEM, OR 97317
(503) 588-5647

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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