Provider Demographics
NPI:1164625356
Name:CHRIST HOUSE
Entity Type:Organization
Organization Name:CHRIST HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:VROON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-328-3717
Mailing Address - Street 1:1660 COLUMBIA ROAD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3697
Mailing Address - Country:US
Mailing Address - Phone:202-328-3717
Mailing Address - Fax:202-588-8101
Practice Address - Street 1:1717 COLUMBIA RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2803
Practice Address - Country:US
Practice Address - Phone:202-328-1100
Practice Address - Fax:202-232-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC22524700Medicaid
DC22524700Medicaid