Healthcare Provider Details

I. General information

NPI: 1871563320
Provider Name (Legal Business Name): CHRISTUS CONTINUING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 02/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 JACKSON STREET EXT SUITE B
ALEXANDRIA LA
71303-2508
US

IV. Provider business mailing address

4241 WOODCOCK DR SUITE A-100
SAN ANTONIO TX
78228-1328
US

V. Phone/Fax

Practice location:
  • Phone: 318-448-6764
  • Fax: 318-449-2568
Mailing address:
  • Phone: 210-785-5800
  • Fax: 210-785-5803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number267
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number267-I
License Number StateLA

VIII. Authorized Official

Name: PAUL GENERALE
Title or Position: CEO
Credential:
Phone: 469-282-2192