Healthcare Provider Details

I. General information

NPI: 1912314063
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

300 WERNER ST 3RD FLOOR
HOT SPRINGS AR
71913-6406
US

IV. Provider business mailing address

919 HIDDEN RDG
IRVING TX
75038-3813
US

V. Phone/Fax

Practice location:
  • Phone: 501-609-4300
  • Fax: 501-609-4335
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 NumberAR3678
License Number StateAR

VIII. Authorized Official

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