Provider Demographics
NPI:1568213304
Name:CHRISTIAN HOME SERVICES INC
Entity Type:Organization
Organization Name:CHRISTIAN HOME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERLOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-400-4050
Mailing Address - Street 1:PO BOX 1224
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48804-1224
Mailing Address - Country:US
Mailing Address - Phone:989-400-4050
Mailing Address - Fax:
Practice Address - Street 1:3070 JENS WAY
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-8504
Practice Address - Country:US
Practice Address - Phone:989-400-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health