Provider Demographics
NPI:1316076888
Name:CHRISTUS CONTINUING CARE
Entity type:Organization
Organization Name:CHRISTUS CONTINUING CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GENERALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-282-2192
Mailing Address - Street 1:4241 WOODCOCK DR
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1328
Mailing Address - Country:US
Mailing Address - Phone:210-785-5200
Mailing Address - Fax:210-785-5290
Practice Address - Street 1:1205 E SANDY LAKE RD
Practice Address - Street 2:SUITE 330
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-7387
Practice Address - Country:US
Practice Address - Phone:972-393-8094
Practice Address - Fax:972-393-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011407251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2018764-01Medicaid
TX743197Medicare Oscar/Certification