institution
Christian Home And Rehabilitation Center, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waupun, Wisconsin
NPI 1457312209

Christian Home And Rehabilitation Center, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Waupun, WI. Christian Home And Rehabilitation Center, Inc. practices in Waupun, WI. The NPI Number for Christian Home And Rehabilitation Center, Inc. is 1457312209 and holds a License No. 0010292 (Wisconsin).

The current practice location address for Christian Home And Rehabilitation Center, Inc. is 452 Fox Lake Rd, Waupun, WI and can be reached out via phone at 920-324-9051 and via fax at 920-324-4724.

Location: 452 Fox Lake Rd, Waupun, WI, 53963-1761
institution
Provider Profile Details
NPI Number
1457312209
Provider Name
Christian Home And Rehabilitation Center, Inc.
Credential
Provider Entity Type
Organization
Address
452 Fox Lake Rd, Waupun, WI, 53963-1761
Phone Number
920-324-9051
Fax Number
920-324-4724
Provider Enumeration Date
03/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20155500 05 WI
institution
Provider Business Practice Location Address Details
Address
452 Fox Lake Rd
City
State
Zip
53963-1761
Phone Number
920-324-9051
Fax Number
920-324-4724
person
Provider Business Mailing Address Details
Address
452 Fox Lake Rd
City
State
Zip
53963-1761
Phone Number
920-324-9051
Fax Number
920-324-4724
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
(Wisconsin)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
0525 (Wisconsin)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
0010292 (Wisconsin)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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