# INLAND CHRISTIAN HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093711681
- **Authorized official:** MR. DAVID STIENSTRA (ADMINISTRATOR)
- **Authorized official phone:** (909) 983-0084

## Contact information

- **Practice address:** 1950 S MOUNTAIN AVE, ONTARIO, CA 91762-6723
- **Practice address phone:** (909) 983-0084
- **Practice address fax:** (909) 983-0431
- **Mailing address:** 1950 S MOUNTAIN AVE, ONTARIO, CA 91762-6723
- **Mailing address phone:** (909) 983-0084
- **Mailing address fax:** (909) 983-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 240000016 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 05/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT19208F | — | CA |