NPIMap

Organization Active NPI

New Beginnings Community Care

  • Case Management Agency
  • Wylie, TX
National Provider Identifier
1104130467
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NEW BEGINNINGS COMMUNITY CARE
Practice address
1314 Canyon Creek Rd
Wylie, TX 75098-6684
Phone
(972) 442-7774
Fax
(972) 442-7774
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theresa Reyes Gostomski, BS
Title
Owner
Phone
(972) 442-7774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

1314 Canyon Creek Rd
Wylie, TX 75098-6684

Mailing address

1314 Canyon Creek Rd
Wylie, TX 75098-6684
Phone (972) 442-7774

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1104130467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CANYON CREEK RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986684",
            "telephone_number": "972-442-7774",
            "fax_number": "972-442-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CANYON CREEK RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986684",
            "telephone_number": "972-442-7774",
            "fax_number": "972-442-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "GOSTOMSKI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-442-7774",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.