Organization Active NPI

Christian Servants Home Care, LLC.

  • In Home Supportive Care Agency
  • Appleton, WI
National Provider Identifier
1821654682
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHRISTIAN SERVANTS HOME CARE, LLC.
Practice address
W5866 Easter Lily Dr
Appleton, WI 54915-7273
Phone
(262) 939-0894
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Iverson
Title
General Manager
Phone
(715) 281-7965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

W5866 Easter Lily Dr
Appleton, WI 54915-7273

Mailing address

W5479 Amy Ave
Appleton, WI 54915-7257
Phone (262) 939-0894

Other names 1

  • Christian Servants Home Care, LLC. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1821654682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5479 AMY AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157257",
            "telephone_number": "262-939-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5866 EASTER LILY DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157273",
            "telephone_number": "262-939-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN SERVANTS HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "715-281-7965"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Servants Home Care, LLC.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Christian Servants Home Care, LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.