Provider Demographics
NPI:1942929237
Name:CHRISTIAN FAMILYCARE HOMES INC
Entity Type:Organization
Organization Name:CHRISTIAN FAMILYCARE HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-531-8082
Mailing Address - Street 1:PO BOX 106
Mailing Address - Street 2:
Mailing Address - City:BELGIUM
Mailing Address - State:WI
Mailing Address - Zip Code:53004-0106
Mailing Address - Country:US
Mailing Address - Phone:414-531-8082
Mailing Address - Fax:800-619-9801
Practice Address - Street 1:223 LILAC LN
Practice Address - Street 2:
Practice Address - City:BELGIUM
Practice Address - State:WI
Practice Address - Zip Code:53004-9546
Practice Address - Country:US
Practice Address - Phone:414-531-8082
Practice Address - Fax:800-619-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility