- Enrollment id
- O20060324000328
- Enrollment state
- IN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760431704
- Multiple npi flag
- N
- Ccn
- 157537
- Associate id
- 5698685360
- Organization name
- CHRISTIAN HOME HEALTH SERVICES INC
- Doing business as name
- CHRISTIAN HOME HEALTH SERVICES
- Incorporation date
- 2002-07-29
- Incorporation state
- IN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4200 W LINCOLN HWY
- City
- MERRILLVILLE
- State
- IN
- Zip code
- 464104388