Provider Demographics
NPI:1679376313
Name:KRISTIANKEEPERS ENTERPRISE
Entity type:Organization
Organization Name:KRISTIANKEEPERS ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:NORETTA
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:817-775-1226
Mailing Address - Street 1:330 RAYFORD RD STE 715
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1980
Mailing Address - Country:US
Mailing Address - Phone:773-699-6140
Mailing Address - Fax:
Practice Address - Street 1:9248 LAIDEN CREEK TRL
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77303-2026
Practice Address - Country:US
Practice Address - Phone:773-699-6140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health