Provider Demographics
NPI:1295567436
Name:CHRISTIAN HOME HEALTHCARE
Entity type:Organization
Organization Name:CHRISTIAN HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAUTICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-323-0203
Mailing Address - Street 1:680 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2344
Mailing Address - Country:US
Mailing Address - Phone:440-207-0342
Mailing Address - Fax:440-445-0568
Practice Address - Street 1:680 MOORE RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-2344
Practice Address - Country:US
Practice Address - Phone:440-207-0342
Practice Address - Fax:440-445-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care