CSJ Provider Services LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CSJ PROVIDER SERVICES LLC

Practice address

7011 Harwin Dr Ste 196
Houston, TX 77036-2121

Phone

(713) 242-8167

Fax

(832) 802-6648

NPI assigned

Jan 8, 2024

Organization subpart

Yes

Parent organization

TRINITY LIVING PROVIDER SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Wenenda Shawn Okendu

Title

Adminstrator

Phone

(832) 591-6836

Specialties & licenses 2

Addresses

Part of

CSJ Provider Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Trinity Living Provider Services LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1629629605
  NPPES parent name

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1225808686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 HARWIN DR STE 196",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362121",
            "telephone_number": "713-242-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 HARWIN DR STE 196",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362121",
            "telephone_number": "713-242-8167",
            "fax_number": "832-802-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSJ PROVIDER SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY LIVING PROVIDER SERVICES LLC",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "OKENDU",
        "authorized_official_first_name": "WENENDA",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "832-591-6836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.