Provider Demographics
NPI:1114075959
Name:CHRISTIAN SENIOR SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN SENIOR SERVICES
Other - Org Name:MEALS ON WHEELS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUGHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-735-5115
Mailing Address - Street 1:4306 NW LOOP 410
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5140
Mailing Address - Country:US
Mailing Address - Phone:210-735-5115
Mailing Address - Fax:210-735-5659
Practice Address - Street 1:4306 NW LOOP 410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5140
Practice Address - Country:US
Practice Address - Phone:210-735-5115
Practice Address - Fax:210-735-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001000938Medicaid
TX001003771Medicaid
TX000172500Medicaid