MEDICARE: CHRISTIAN HOME HEALTH SERVICES, INC

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	251E00000X	Home Health Agency	05-003074-1	IN

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

General Provider Information

NPI Number	:	1760431704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	4200 W LINCOLN HWY
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-4388
Country	:	US
Telephone Number	:	219-641-4001
Fax Number	:	219-641-4011

Provider Business Practice Location Address
First Line	:	4200 W LINCOLN HWY
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-4388
Country	:	US
Telephone Number	:	219-641-4001
Fax Number	:	219-641-4011

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	LIZA ASPIRAS
Credential	:	RN
Telephone Number	:	219-641-4001

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	09/01/2009

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