Organization Active NPI

Credence Home Health Services, Inc.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1093732729
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010825 Issued in TX
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

Updated by the provider on Apr 22, 2025

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)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Home Health Agency 251E00000X 010825 TX Primary
Home Infusion Agency 251F00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X 010825 TX
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
010825OtherTXLICENSE NUMBER
679703OtherTXMEDICARE
214826401MedicaidTX
010825OtherTXHOME HEALTH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 679703
Ownership
Proprietary
Certified
Dec 19, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1058749Credence Home Health Services, Inc9319 LBJ Freeway Suite 203, Dallas, TX 75243Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Iyobosa Ozigbo Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Jun 1, 2023 100%
Corporate DirectorAdministrator Jun 1, 2023
Operational/Managerial ControlAdministrator 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

Verify at the official NPI Registry.