Healthcare Provider Details
I. General information
NPI: 1629133889
Provider Name (Legal Business Name): CHRISTIAN CONCERN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2080 HAUGHTON AVE
NORTH MANKATO MN
56003-1418
US
IV. Provider business mailing address
1230 N RIVER DR
MANKATO MN
56001-2280
US
V. Phone/Fax
- Phone: 507-345-8589
- Fax:
- Phone: 507-345-8590
- Fax: 507-345-3771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | 118489-2-AFC |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | 1038655-1-AFC |
| License Number State | MN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | 1010541-2-AFC |
| License Number State | MN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 315P00000X |
| Taxonomy | Intellectual Disabilities Intermediate Care Facility |
| License Number | 328072 |
| License Number State | MN |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 315P00000X |
| Taxonomy | Intellectual Disabilities Intermediate Care Facility |
| License Number | 328073 |
| License Number State | MN |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | 223942-3-AFC |
| License Number State | MN |
VIII. Authorized Official
Name:
STEVE
J.
SCHOENER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 507-345-3039