Active NPI
Christian Harbor Youth Camp, Inc
- Lodging Provider
- Eau Claire, WI
National Provider Identifier
1962372359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- CHRISTIAN HARBOR YOUTH CAMP, INC
- Practice address
- 10520 24TH Ave
Eau Claire, WI 54703-5091 - Phone
- (715) 497-4429
- NPI assigned
- Nov 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Stone
- Title
- Manager
- Phone
- (715) 497-4429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | Primary |
Addresses
Primary practice location
10520 24TH Ave
Eau Claire, WI 54703-5091
Mailing address
10520 24TH Ave
Eau Claire, WI 54703-5091
Phone (715) 497-4429
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1962372359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 24TH AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035091",
"telephone_number": "715-497-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 24TH AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035091",
"telephone_number": "715-497-4429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN HARBOR YOUTH CAMP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "715-497-4429"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.