Provider Demographics
NPI:1881867505
Name:CHRISTIAN HOME CARE LLC
Entity Type:Organization
Organization Name:CHRISTIAN HOME CARE LLC
Other - Org Name:CHRISTAIN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRCTOR OF OPERATIONS/ALT. ADMIN.
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:DRESCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-313-4768
Mailing Address - Street 1:14215 BELLCREST DR.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14215 BELLCREST DR.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217
Practice Address - Country:US
Practice Address - Phone:210-313-4768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health