Provider Demographics
NPI:1861425274
Name:CHRISTIAN HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:CHRISTIAN HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:TILLMAN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-949-7177
Mailing Address - Street 1:4110 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-6008
Mailing Address - Country:US
Mailing Address - Phone:504-949-7177
Mailing Address - Fax:504-949-7177
Practice Address - Street 1:4110 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-6008
Practice Address - Country:US
Practice Address - Phone:504-949-7177
Practice Address - Fax:504-949-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1402206Medicaid
LAJHHA25016OtherCMS IDENTIFIER
LA1402206Medicaid