Organization
CHRISTIAN HEALTH CENTER - WEST, INC.
Active
Parent organization
CHRISTIAN CARE COMMUNITIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN CARE COMMUNITIES, INC.
Authorized official
DR. KEITH R. KNAPP PHD (CHIEF EXECUTIVE OFFICER)
(502) 254-4200
Entity
Organization
Contact information
Practice address
1015 MAGAZINE ST, LOUISVILLE, KY 40203-2017
(502) 254-4201
(502) 254-4209
Mailing address
1015 MAGAZINE ST, LOUISVILLE, KY 40203-2017
(502) 254-4201
(502) 254-4209
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100536
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185468
MEDICARE
—
05
—
7100197160
—
KY
Enumeration date
09/07/2011
Last updated
05/19/2014
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