CHRISTIAN COMMUNITY HEALTH CENTER
NPI 1912170457
Clinic/Center - Federally Qualified Health Center (FQHC) in South Holland, IL
About Christian Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTIAN COMMUNITY HEALTH CENTER (NPI 1912170457), doing business as Roseland Christian Health Ministries, is a healthcare organization registered as a federally qualified health center (fqhc) in South Holland, Illinois and active in the NPI registry since April 2008. The organization lists Kenneth A. Burnett, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christian Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Christian Community Health Center, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 27South Holland, IL 60473
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Christian Community Health Center's NPI number?
The NPI number for Christian Community Health Center is 1912170457. It was assigned to this organization in the NPPES registry on April 4, 2008. The provider was formerly known as Roseland Christian Health Ministries.
Where is Christian Community Health Center located?
Christian Community Health Center is located at 901 E Sibley Blvd, South Holland, IL 60473. The listed phone number is (708) 596-4111.
What is Christian Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Christian Community Health Center enrolled in Medicare?
Yes. Christian Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Christian Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 6 Medicare specialties reassign their Medicare billing to Christian Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Internal Medicine (5) and Clinical Social Worker (2). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Christian Community Health Center accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Christian Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Christian Community Health Center was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Christian Community Health Center · NPI 1912170457
Federally Qualified Health Center (FQHC) organization in South Holland, Illinois. Organization record, active in the CMS NPPES registry since April 4, 2008.
## Identity
- **NPI:** 1912170457 (Entity type: Organization)
- **Enumerated:** April 4, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Kenneth Burnett, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 901 E SIBLEY BLVD, South Holland, IL 60473-1166
- **Phone:** (708) 596-4111 · **Fax:** (773) 233-4055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Internal Medicine (5), Clinical Social Worker (2); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1912170457/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912170457) · Data from the CMS NPPES public registry.