Provider Demographics
NPI:1972220184
Name:CHRISBET SERVICES LLC
Entity Type:Organization
Organization Name:CHRISBET SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKAGBARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-304-4051
Mailing Address - Street 1:1830 WATERLOO PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4706
Mailing Address - Country:US
Mailing Address - Phone:347-304-4051
Mailing Address - Fax:
Practice Address - Street 1:1830 WATERLOO PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4706
Practice Address - Country:US
Practice Address - Phone:347-304-4051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home