Healthcare Provider Details

I. General information

NPI: 1245212976
Provider Name (Legal Business Name): APOSTOLIC CHRISTIAN HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 PARAMOUNT ST
SABETHA KS
66534-2120
US

IV. Provider business mailing address

511 PARAMOUNT ST
SABETHA KS
66534-2120
US

V. Phone/Fax

Practice location:
  • Phone: 785-284-3471
  • Fax: 785-284-3697
Mailing address:
  • Phone: 785-284-3471
  • Fax: 785-284-3697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberN066001
License Number StateKS

VIII. Authorized Official

Name: MR. JOHN E LEHMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 785-284-3471