Christian Familycare Homes Inc
Organization Active NPI Assisted Living Facility · Belgium, WI
NPI 1942929237 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1942929237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CHRISTIAN FAMILYCARE HOMES INC
- Practice address
- 223 Lilac LN
Belgium, WI 53004-9546 - Phone
- (414) 531-8082
- Fax
- (800) 619-9801
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan Louise Anderson
- Title
- President/Owner
- Phone
- (414) 531-8082
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1013754 | Christian Familycare Homes-Michigan | Certificate of waiver | Jun 16, 2027 |
| 52D1013755 | Christian Familycare Homes-Green Valley | Certificate of waiver | Jun 16, 2027 |
| 52D1013757 | Christian Familycare Homes-Manhattan | Certificate of waiver | Jun 16, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
223 Lilac LN
Belgium, WI 53004-9546
Mailing address
PO Box 106
Belgium, WI 53004-0106
Phone (414) 531-8082
Other practice location 1
1128 Green Valley Dr
Waukesha, WI 53189-7237
Phone (414) 531-8082
Other practice location 2
2031 Manhattan Dr
Waukesha, WI 53186-2698
Phone (414) 531-8082
Other practice location 3
1505 Michigan Ave
Waukesha, WI 53188-4243
Phone (414) 531-8082
NPI Registry JSON
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1942929237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "BELGIUM",
"state": "WI",
"postal_code": "530040106",
"telephone_number": "414-531-8082",
"fax_number": "800-619-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 LILAC LN",
"city": "BELGIUM",
"state": "WI",
"postal_code": "530049546",
"telephone_number": "414-531-8082",
"fax_number": "800-619-9801"
}
],
"practiceLocations": [
{
"address_1": "1128 Green Valley Dr",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531897237",
"country_code": "US",
"telephone_number": "414-531-8082",
"fax_number": "800-619-9801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2031 Manhattan Dr",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531862698",
"country_code": "US",
"telephone_number": "414-531-8082",
"fax_number": "800-619-9801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 Michigan Ave",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531884243",
"country_code": "US",
"telephone_number": "414-531-8082",
"fax_number": "800-619-9801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHRISTIAN FAMILYCARE HOMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "414-531-8082",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.