Provider Demographics
NPI:1861693707
Name:KRISTI'S HOMES, INC.
Entity type:Organization
Organization Name:KRISTI'S HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENTIAL CARE PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-560-0241
Mailing Address - Street 1:2691 FALLING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-9130
Mailing Address - Country:US
Mailing Address - Phone:252-523-7043
Mailing Address - Fax:252-523-7043
Practice Address - Street 1:2691 FALLING CREEK RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-9130
Practice Address - Country:US
Practice Address - Phone:252-523-7043
Practice Address - Fax:252-523-7043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409508Medicaid