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Contact Information

CHRISTIAN RETIREMENT HOMES, INC.
4130 NORTHWEST BLVD
DAVENPORT, IA52806-4243
 Phone: 563-391-3430
 Fax: 563-388-3287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CHRISTIAN RETIREMENT HOMES, INC.

NPI Number 1861484271
LBN Legal business name CHRISTIAN RETIREMENT HOMES, INC.
Authorized official BERT VIGEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2005
Last updated 01/03/2012 - About 14 years ago
Identifiers
IA License # N0407
IA License # S0139
IA Medicaid 0803403
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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