Provider Demographics
NPI:1801576095
Name:CHRISTIAN HOUSE LLC
Entity type:Organization
Organization Name:CHRISTIAN HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENNA
Authorized Official - Middle Name:KRISTINE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CEAL
Authorized Official - Phone:330-886-0386
Mailing Address - Street 1:82 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PALESTINE
Mailing Address - State:OH
Mailing Address - Zip Code:44413-1928
Mailing Address - Country:US
Mailing Address - Phone:330-886-0386
Mailing Address - Fax:330-886-0385
Practice Address - Street 1:82 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:EAST PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413-1928
Practice Address - Country:US
Practice Address - Phone:330-886-0386
Practice Address - Fax:330-886-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility