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NPI 1295692804

NPI 1295692804 : CHRISTIAN K HOME CARE : WACO, TX

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General NPI Number Information
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    NPI Number           |    1295692804
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTIAN K HOME CARE 
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Dates
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    Enumeration Date     |    01/06/2026
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    2676 OLD ROBINSON RD 
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    City                 |    WACO
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    State                |    TX
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    Zip                  |    76706
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    Country              |    US
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    Telephone            |    972-768-2177
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5900 BALCONES DR # 20143 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-4257
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    Country              |    US
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    Telephone            |    972-768-2177
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. MAX J KEATON 
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    Credential           |    
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    Telephone            |    972-768-2177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253J00000X
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    Taxonomy Name        |    Foster Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    322D00000X
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    Taxonomy Name        |    Emotionally Disturbed Childrens' Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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