=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861425274
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHRISTIAN HOME HEALTH CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2006
-----------------------------------------------------
Last Update Date | 09/17/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4110 FRANKLIN AVE
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70122-6008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-949-7177
-----------------------------------------------------
Fax | 504-949-2001
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4110 FRANKLIN AVE
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70122-6008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-949-7177
-----------------------------------------------------
Fax | 504-949-7177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/ADMINSTRATOR
-----------------------------------------------------
Name | ELAINE TILLMAN DAVIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 504-949-7177
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 293
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------