Provider Demographics
NPI:1528211083
Name:CHRISTUS CONTINUING CARE
Entity Type:Organization
Organization Name:CHRISTUS CONTINUING CARE
Other - Org Name:CHRISTUS HOMECARE - ST. JOSEPH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-630-5519
Mailing Address - Street 1:PO BOX 841642
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1642
Mailing Address - Country:US
Mailing Address - Phone:801-266-5126
Mailing Address - Fax:801-266-0775
Practice Address - Street 1:5242 COLLEGE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-2653
Practice Address - Country:US
Practice Address - Phone:801-266-5126
Practice Address - Fax:801-266-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT467051Medicare Oscar/Certification