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Contact Information

CHRISTIAN CARE HOME
800 CHAMBERS RD
FERGUSON, MO63135-2133
 Phone: 314-522-8100
 Fax: 314-522-2334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CHRISTIAN CARE HOME

NPI Number 1720190788
LBN Legal business name CHRISTIAN CARE HOME
Authorized official CHARLOTTE FINK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 01/06/2012 - About 14 years ago
Identifiers
MO License # 030395
MO License # 4842620001
MO Medicaid 101483501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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