Provider Demographics
NPI:1528016953
Name:CHRISTIAN HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CHRISTIAN HOME HEALTH SERVICES, INC.
Other - Org Name:CHRISTIAN HOME HOSPICE CARE
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 W 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 W 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:2006-05-05
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-0032929-1251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN151588Medicare ID - Type UnspecifiedMEDICARE PROVIDER #