Healthcare Provider Details

I. General information

NPI: 1831506989
Provider Name (Legal Business Name): CHRISTUS CONTINUING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 ROGERS AVE 4TH FLOOR
FORT SMITH AR
72903-4100
US

IV. Provider business mailing address

919 HIDDEN RDG
IRVING TX
75038-3813
US

V. Phone/Fax

Practice location:
  • Phone: 479-314-4900
  • Fax: 479-314-4991
Mailing address:
  • Phone: 469-282-2000
  • Fax: 469-282-2647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License NumberAR4139
License Number StateAR

VIII. Authorized Official

Name: PAUL GENERALE
Title or Position: CEO
Credential:
Phone: 903-614-2001