CHRISTIAN COMMUNITY PLACEMENT CENTER (NPI# 1700194875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700194875 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COMMUNITY PLACEMENT CENTER |
| Practice Address |
4890 32nd Ave Se Salem OR 97317-9350 |
| Practice Telephone | 5035885647 |
| Mailing Telephone | 5035885647 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | MISS KRISTINE ADAILA DARBY (ADMINISTRATIVE ASSISSTANT) |
| Authorized Official Telephone | 5035885647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 172V00000X | OR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CHRISTIAN COMMUNITY PLACEMENT CENTER | 4890 32nd Ave Se, Salem, OR 97317 |
| Street Address |
4890 32ND AVE SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-9350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1205466018 | Jake Gongora | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2020-01-21 |
| 1114483773 | Michelle J Zamarron | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2019-02-19 |
| 1164904124 | Miguel Gonzalez | Counselor | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-09-05 |
| 1679051692 | Kylie Tamiko Gumban | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-08-01 |
| 1003392515 | Alan Keith Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
| 1679059182 | Nancy Diane Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
| 1639665508 | Jaremy Calderon | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-03 |
| 1699267542 | Alyssa Hope Rice | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
| 1437641388 | Ellen Reece | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1689086530 | Ruben Chekhov | Dental Hygienist | 4932 Turquoise Ave Se, Salem, OR 97317-4109 | 2014-05-27 |
| 1285636464 | Marion County Fire District No 1 | Ambulance | 300 Cordon Rd Ne, Salem, OR 97317-5203 | 2005-06-01 |
| Find all providers in zip 97317 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A 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. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521937 | Virginia Baptist Childrens Home and Family Services | Foster Care Agency | 820 Mount Vernon Ln, Salem, VA 24153-2700 | 2014-01-09 |
| 1093955767 | Children, Adults and Families - Child Welfare | Foster Care Agency | 500 Summer St Ne # E-69, Salem, OR 97301-1063 | 2009-02-20 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1629223243 | Professional Therapeutic Community Network, Inc | Foster Care Agency | 2905 River Rd S, Salem, OR 97302-9754 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103404 | Robert Scott Ryves | Foster Care Agency | 1106 Maple St, Florence, OR 97439-9410 | 2018-02-10 |
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1992228498 | Youth Unlimited Inc. | Foster Care Agency | 11012 Se Stark St Unit M, Portland, OR 97216-3388 | 2017-07-17 |
| 1104356401 | Pamela Hayden | Foster Care Agency | 6720 Amber Ave, Klamath Falls, OR 97603-4189 | 2017-06-19 |
| 1649725169 | Radiant Care Afh LLC | Foster Care Agency | 445 N Main Ave, Warrenton, OR 97146-9677 | 2016-08-25 |
| 1932554243 | Stride Residential Services | Foster Care Agency | 2747 Newton St, Philomath, OR 97370-9214 | 2016-04-25 |
| 1962800300 | Fresh Start Family Services of Oregon, Inc. | Foster Care Agency | 8825 Se 42nd Ave, Milwaukie, OR 97222-5568 | 2014-12-17 |
| 1417358417 | Danielmoray Corporation | Foster Care Agency | 1000 Ne 122nd Ave Ste 25, Portland, OR 97230-2007 | 2014-09-09 |
| 1669888244 | Kenneth Cole | Foster Care Agency | 938 W Hilliard Ln, Eugene, OR 97404-3014 | 2014-07-03 |
| 1528295227 | New Decision Treatment Foster Care, Inc. | Foster Care Agency | 11737 Se Alder St, Portland, OR 97216-3867 | 2009-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISTIAN COMMUNITY PLACEMENT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.