MEDICARE: CHRISTIAN K HOME CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	253J00000X	Foster Care Agency
3	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1295692804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN K HOME CARE

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 20143
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	972-768-2177
Fax Number	:

Provider Business Practice Location Address
First Line	:	2676 OLD ROBINSON RD
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76706
Country	:	US
Telephone Number	:	972-768-2177
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MAX J KEATON
Credential	:
Telephone Number	:	972-768-2177

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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