# FRIENDS OF KANSAS CHRISTIAN HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kansas Christian Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013013846
- **Authorized official:** JUSTIN HARLAND DPT, LNHA (CEO)
- **Authorized official phone:** (316) 871-2677

## Contact information

- **Practice address:** 1035 SE 3RD ST, NEWTON, KS 67114-3904
- **Practice address phone:** (316) 283-6600
- **Practice address fax:** (316) 283-6375
- **Mailing address:** 1035 SE 3RD ST, NEWTON, KS 67114-3904
- **Mailing address phone:** (316) 283-6600
- **Mailing address fax:** (316) 283-6375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N-040004 | KS | — |
| 314000000X | Skilled Nursing Facility | N040004 | KS | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 02/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1581 | BCBS OF KANSAS | KS |
| 05 | — | 200366760A | — | KS |