Central Park Church of God

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

CENTRAL PARK CHURCH OF GOD

Practice address

3341 Elm Grove Rd
Wylie, TX 75098-6371

Phone

(972) 358-7577

NPI assigned

Jun 4, 2008

Last updated

Jun 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Evangeline Vargas

Title

Teacher

Phone

(972) 358-7577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1215196365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 ELM GROVE RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986371",
            "telephone_number": "972-358-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 ELM GROVE RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986371",
            "telephone_number": "972-358-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK CHURCH OF GOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "972-358-7577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Wylie, TX
• Providers in Wylie, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.