Christian Home And Rehabilitation Center, Inc.

LBN: Christian Home And Rehabilitation Center, Inc.
Christian Home And Rehabilitation Center, Inc. is an health care organization with primary practice located at 452 Fox Lake Rd , Waupun WI 53963-1761. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Christian Home And Rehabilitation Center, Inc. can be contacted via phone (920) 324-9051, or through Wirkus, Barbara L. via phone (920) 324-9051.

Contact Information

Primary practice address
452 Fox Lake Rd Waupun WI 53963-1761
Phone: (920) 324-9051
Fax: (920) 324-4724
Website:
Map and Directions
Authorized official contact:
Name: Wirkus, Barbara L. NHA
Phone: (920) 324-9051

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 0010292 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0525 Wisconsin
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Wisconsin

Profile Details

NPI number 1457312209
LBN Legal business name Christian Home And Rehabilitation Center, Inc.
DBA Doing business as
Authorized official Wirkus, Barbara L. NHA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Jan 7th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457312209 NPPES
Wisconsin MEDICAID 20155500

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