MEDICARE: CHRISTUS CONTINUING CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	011407	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316076888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTUS CONTINUING CARE

Provider Business Mailing Address
First Line	:	4241 WOODCOCK DR
Second Line	:	SUITE A-100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1328
Country	:	US
Telephone Number	:	210-785-5200
Fax Number	:	210-785-5290

Provider Business Practice Location Address
First Line	:	1205 E SANDY LAKE RD
Second Line	:	SUITE 330
City	:	COPPELL
State	:	TX
Zip	:	75019-7387
Country	:	US
Telephone Number	:	972-393-8094
Fax Number	:	972-393-0237

Authorized Official
Title or Position	:	CEO
Name	:	PAUL GENERALE
Credential	:
Telephone Number	:	469-282-2192

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	02/20/2017

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Directions to “CHRISTUS CONTINUING CARE ” Practice Location

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