Provider Demographics
NPI:1437108214
Name:CHRISTIAN HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CHRISTIAN HOME HEALTH SERVICES, INC
Other - Org Name:CHRISTIAN DME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPIRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-641-4001
Mailing Address - Street 1:4200 WEST LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-4388
Mailing Address - Country:US
Mailing Address - Phone:219-641-4001
Mailing Address - Fax:219-641-4011
Practice Address - Street 1:4200 WEST LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-4388
Practice Address - Country:US
Practice Address - Phone:219-641-4001
Practice Address - Fax:219-641-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200261810Medicaid
IN4932240001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #