Provider Demographics
NPI:1972188001
Name:CHRISTIAN ORIENTED EVANGELISTIC HEALTHCARE MINISTRY, INC
Entity Type:Organization
Organization Name:CHRISTIAN ORIENTED EVANGELISTIC HEALTHCARE MINISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEOP
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:321-624-9949
Mailing Address - Street 1:4731 PRESERVE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-7075
Mailing Address - Country:US
Mailing Address - Phone:321-624-9949
Mailing Address - Fax:863-868-2807
Practice Address - Street 1:1051 SHAWNDA LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4979
Practice Address - Country:US
Practice Address - Phone:321-624-9949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care