Organization
CHRISTIAN HOMES, INC.
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
Legal business name
MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA
Authorized official
MR. DONALD W. BAKKE NURSING HOME ADMIN. (EXECUTIVE DIRECTOR)
(308) 995-4493
Entity
Organization
Contact information
Practice address
1923 WEST 4TH AVENUE, HOLDREGE, NE 68949-3113
(308) 995-4493
(308) 995-8702
Mailing address
1923 W 4TH AVE, HOLDREGE, NE 68949-3113
(308) 995-4493
(308) 995-8702
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ALF030
NE
314000000X
Skilled Nursing Facility
Primary
614002
NE
Other
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
Enumeration date
06/10/2005
Last updated
10/28/2013
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