MEDICARE: CHRISTIAN SENIOR SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332U00000X	Home Delivered Meals

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114075959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN SENIOR SERVICES

Provider Business Mailing Address
First Line	:	4306 NW LOOP 410
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5140
Country	:	US
Telephone Number	:	210-735-5115
Fax Number	:	210-735-5659

Provider Business Practice Location Address
First Line	:	4306 NW LOOP 410
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5140
Country	:	US
Telephone Number	:	210-735-5115
Fax Number	:	210-735-5659

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. SHARON BAUGHMAN
Credential	:
Telephone Number	:	210-735-5115

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	03/11/2014

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Directions to “CHRISTIAN SENIOR SERVICES ” Practice Location

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