Provider Demographics
NPI:1467043448
Name:CHRISTINA'S CARE HOME
Entity Type:Organization
Organization Name:CHRISTINA'S CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PELAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-485-6940
Mailing Address - Street 1:8397 KIMBERLY WAY
Mailing Address - Street 2:
Mailing Address - City:HILMAR
Mailing Address - State:CA
Mailing Address - Zip Code:95324-9078
Mailing Address - Country:US
Mailing Address - Phone:209-485-6940
Mailing Address - Fax:
Practice Address - Street 1:8397 KIMBERLY WAY
Practice Address - Street 2:
Practice Address - City:HILMAR
Practice Address - State:CA
Practice Address - Zip Code:95324-9078
Practice Address - Country:US
Practice Address - Phone:209-485-6940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility