Provider Demographics
NPI:1558465955
Name:CHRISTUS CONTINUING CARE
Entity Type:Organization
Organization Name:CHRISTUS CONTINUING CARE
Other - Org Name:CHRISTUS HOSPICE AND PALLIATIVE CARE ST PATRICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GENERALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-282-2192
Mailing Address - Street 1:4241 WOODCOCK DR
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1328
Mailing Address - Country:US
Mailing Address - Phone:210-785-5800
Mailing Address - Fax:210-785-5803
Practice Address - Street 1:4444 LAKE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4312
Practice Address - Country:US
Practice Address - Phone:337-480-3000
Practice Address - Fax:337-480-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0004843251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA15-85009Medicaid
LA30998OtherBCBS OF LA
LA30998OtherBCBS OF LA