Provider Demographics
NPI:1174889950
Name:CHRISTIAN CARE SERVICES, INC.
Entity type:Organization
Organization Name:CHRISTIAN CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SPALDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-254-4242
Mailing Address - Street 1:1015 MAGAZINE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2017
Mailing Address - Country:US
Mailing Address - Phone:502-254-4242
Mailing Address - Fax:502-254-4209
Practice Address - Street 1:1015 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2017
Practice Address - Country:US
Practice Address - Phone:502-254-4242
Practice Address - Fax:502-254-4209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTIAN CARE COMMUNITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-06
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY750182347E00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No347E00000XTransportation ServicesTransportation Broker