# CHRISTIAN HOMES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA
- **Other names:** Christian Homes Health Care, Chrisoma West
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912901505
- **Legal business name:** MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA
- **Authorized official:** MR. DONALD W. BAKKE NURSING HOME ADMIN. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (308) 995-4493

## Contact information

- **Practice address:** 1923 WEST 4TH AVENUE, HOLDREGE, NE 68949-3113
- **Practice address phone:** (308) 995-4493
- **Practice address fax:** (308) 995-8702
- **Mailing address:** 1923 W 4TH AVE, HOLDREGE, NE 68949-3113
- **Mailing address phone:** (308) 995-4493
- **Mailing address fax:** (308) 995-8702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF030 | NE | — |
| 314000000X | Skilled Nursing Facility | 614002 | NE | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 10/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 28D0652676 | CLIA NUMBER | NE |
| 01 | — | 614002 | NEBRASKA SKILLED LICENSE | NE |
| 01 | — | ALF030 | NE ASSISTED LIV. LICENSE | NE |