MEDICARE: UNION CHRISTEL MANOR, INC.

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	315P00000X	Intellectual Disabilities Intermediate Care Facility	1707N	OH

General Provider Information

NPI Number	:	1750467510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION CHRISTEL MANOR, INC.

Provider Business Mailing Address
First Line	:	400 S MELVIN ELEY AVE
Second Line	:
City	:	UNION CITY
State	:	OH
Zip	:	45390-8611
Country	:	US
Telephone Number	:	937-968-6265
Fax Number	:	937-968-6883

Provider Business Practice Location Address
First Line	:	400 S MELVIN ELEY AVE
Second Line	:
City	:	UNION CITY
State	:	OH
Zip	:	45390-8611
Country	:	US
Telephone Number	:	937-968-6265
Fax Number	:	937-968-6883

Authorized Official
Title or Position	:	PRESIDENT/TREASURER
Name	:	MR. ROBERT SYDNEY THOMPSON
Credential	:
Telephone Number	:	937-643-3757

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	05/23/2011

Similar Medicare Providers

1225992217 — MRS. CHARLE PECK LCSW
Practice Location Address:

8611 EDEN CT
UNION, KY
41091-7457

Practice Phone: 859-878-6755
Practice Fax:

1609709906 — IDANIA LE VEXIER
Practice Location Address:

839 PLANTATION WAY
PANAMA CITY, FL
32404-8611

Practice Phone: 305-244-9061
Practice Fax:

1255365078 — CHARLES A COLE MD
Practice Location Address:

15100 E 104TH AVE
COMMERCE CITY, CO
80022-8611

Practice Phone: 720-848-0000
Practice Fax:

1679872485 — DR. TRISTAN FLYNN MEADOR MD
Practice Location Address:

15100 E 104TH AVE
COMMERCE CITY, CO
80022-8611

Practice Phone: 303-338-4545
Practice Fax:

1902396708 — UNIVERSITY OF COLORADO HOSPITAL AUTHORITY
Practice Location Address:

15100 E 104TH AVE
COMMERCE CITY, CO
80022-8611

Practice Phone: 303-286-6920
Practice Fax:

1770047847 — ZORAYA OTERO
Practice Location Address:

4020 OLSEN RD
HAINES CITY, FL
33844-8611

Practice Phone: 787-529-3436
Practice Fax:

Directions to “UNION CHRISTEL MANOR, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.