Active NPI
Credence Home Health Services, Inc.
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010825
- Legal business name
- CREDENCE HOME HEALTH SERVICES, INC.
- Practice address
- 9319 LBJ Freeway
Suite 203
Dallas, TX 75243-3473 - Phone
- (972) 994-9200
- Fax
- (972) 994-9201
- NPI assigned
- Jul 17, 2006
- 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
- Iyobosa Richard Ozigbo, RN
- Title
- Administrator
- Phone
- (972) 994-9200
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Home Health Agency | 251E00000X | 010825 | TX | Primary |
| Home Infusion Agency | 251F00000X | |||
| Attendant Care Provider | 3747A0650X | 010825 | TX | |
| Personal Care Attendant | 3747P1801X | TX |
Addresses
Primary practice location
9319 LBJ Freeway
Suite 203
Dallas, TX 75243-3473
Mailing address
9319 LBJ Freeway
Suite 203
Dallas, TX 75243-3473
Phone (972) 994-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010825 | Other | TX | LICENSE NUMBER |
| 679703 | Other | TX | MEDICARE |
| 214826401 | Medicaid | TX | |
| 010825 | Other | TX | HOME HEALTH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070731000545 | TX | Part A Provider - Home Health Agency | 2264523554 | Practice locations: Dallas, TX; Haltom City, TX |
Home health agency certification: CCN 679703
- Legal name
- CREDENCE HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 19, 2007
- Last certification
- Aug 8, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 9319 LBJ Fwy
Ste 203
Dallas, TX 75243-3473
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Credence Home Health Services Inc
- Ownership
- Proprietary
- Certified
- Dec 19, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1058749 | Credence Home Health Services, Inc | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
9319 Lyndon B Johnson Fwy
Ste 203
Dallas, TX 75243
9319 Lyndon B Johnson Fwy
Dallas, TX 75243
5208 Airport Fwy
Ste 21010
Haltom City, TX 76117
Phone (972) 994-9200
1701 N Greenville Ave
Ste 816
Richardson, TX 75081
Phone (972) 994-9200
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Iyobosa Ozigbo | 5% Or Greater Direct Ownership Interest | Jun 1, 2023 | 100% |
| Corporate Director | Jun 1, 2023 | ||
| Operational/Managerial Control | Jun 1, 2023 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1093732729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9319 LBJ FREEWAY",
"address_2": "SUITE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433473",
"telephone_number": "972-994-9200",
"fax_number": "972-994-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9319 LBJ FREEWAY",
"address_2": "SUITE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433473",
"telephone_number": "972-994-9200",
"fax_number": "972-994-9201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREDENCE HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "OZIGBO",
"authorized_official_first_name": "IYOBOSA",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-994-9200",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010825",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "TX",
"license": "010825",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "010825",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "679703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214826401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH LICENSE",
"identifier": "010825",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.