Provider Demographics
NPI:1942304332
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:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:N
Authorized Official - Last Name:VANDER LOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-772-1261
Mailing Address - Street 1:P.O. BOX 1224
Mailing Address - Street 2:209 E. CHIPPEWA ST.
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48804-1224
Mailing Address - Country:US
Mailing Address - Phone:989-772-1261
Mailing Address - Fax:989-772-1300
Practice Address - Street 1:209 E CHIPPEWA ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1609
Practice Address - Country:US
Practice Address - Phone:989-772-1261
Practice Address - Fax:989-772-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health