Christian Health Care Center in Wyckoff - Intermediate Care Facility, Mental Illness

Christian Health Care Center - NPI 1922194331

Christian Health Care Center is a Intermediate Care Facility, Mental Illness in Wyckoff, New Jersey. Christian Health Care Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Christian Health Care Center is 1922194331. The last update date is 2020-08-22.

Christian Health Care Center's current location address is 301 Sicomac Ave, Wyckoff, New Jersey. You can contact this provider via phone number 2018485200 and fax number 2018485493. The mailing address for Christian Health Care Center is 301 Sicomac Ave, Wyckoff, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Christian Health Care Center
Address 301 Sicomac Ave, Wyckoff, New Jersey
Phone Number 2018485200
Fax Number 2018485493
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Stagg A Kevin
Telephone Number 2018485200

NPI Number Detail

NPI Number 1922194331
Provider Enumeration Date 2006-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 301 Sicomac Ave
City Wyckoff
State New Jersey (NJ)
Post Code 74812159
Phone Number 2018485200
Fax Number 2018485493

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Mental Illness
Taxonomy 310500000X
Licence No 60204
Definition:
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4463510 NJ --

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FAQs about Christian Health Care Center

What is the unique 10-digit identifier code issued to Christian Health Care Center by the Centers for Medicare & Medicaid Services?

The Christian Health Care Center has been assigned the NPI (National Provider Identifier) 1922194331 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Christian Health Care Center is located?

The Christian Health Care Center is situated at the following address: 301 Sicomac Ave, Wyckoff, NJ, 74812159.

What is Christian Health Care Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Christian Health Care Center is Intermediate Care Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 310500000X.

On what date did Christian Health Care Center receive its 1922194331 assignment from the Centers for Medicare & Medicaid Services?

The Christian Health Care Center was assigned its 1922194331 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Christian Health Care Center most recently updated or revised?

The details related to Christian Health Care Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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