Provider Demographics
NPI:1174192629
Name:PARTNERS IN CHRIST INC, LLC
Entity Type:Organization
Organization Name:PARTNERS IN CHRIST INC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:PATRINA
Authorized Official - Last Name:GAMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:219-210-9284
Mailing Address - Street 1:2222 E MICHIGAN BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-5395
Mailing Address - Country:US
Mailing Address - Phone:219-210-9284
Mailing Address - Fax:219-533-4157
Practice Address - Street 1:2222 E MICHIGAN BLVD APT 1
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-5395
Practice Address - Country:US
Practice Address - Phone:219-210-9284
Practice Address - Fax:219-533-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-20
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care