Provider Demographics
NPI:1467223214
Name:CHRIST CARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CHRIST CARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:773-754-8504
Mailing Address - Street 1:3420 W PETERSON AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3467
Mailing Address - Country:US
Mailing Address - Phone:773-754-8504
Mailing Address - Fax:773-754-8505
Practice Address - Street 1:3420 W PETERSON AVE STE 4
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3467
Practice Address - Country:US
Practice Address - Phone:773-754-8504
Practice Address - Fax:773-754-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care