Provider Demographics
NPI:1164646626
Name:CHRISTIAN HEIGHTS COMMUNITY CARE, INC
Entity Type:Organization
Organization Name:CHRISTIAN HEIGHTS COMMUNITY CARE, INC
Other - Org Name:CHRISTIAN HEIGHTS ADULT DAY & HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-371-4285
Mailing Address - Street 1:4708 WADSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7339
Mailing Address - Country:US
Mailing Address - Phone:214-371-4285
Mailing Address - Fax:972-492-5402
Practice Address - Street 1:4708 WADSWORTH DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7339
Practice Address - Country:US
Practice Address - Phone:214-371-4285
Practice Address - Fax:972-492-5402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
TX311ZA0620X311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home