Provider Demographics
NPI:1982236923
Name:CHRISTIAN HOUSE HOME HEALTH OHIO LLC
Entity Type:Organization
Organization Name:CHRISTIAN HOUSE HOME HEALTH OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
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:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1710219670OtherNPI NUMBER