Provider Demographics
NPI:1700281664
Name:CHRISTA CARE HOME AND HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CHRISTA CARE HOME AND HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:COLDING
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:706-766-9566
Mailing Address - Street 1:486 BREWER RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30145-1821
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:486 BREWER RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:GA
Practice Address - Zip Code:30145-1821
Practice Address - Country:US
Practice Address - Phone:706-766-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health