Emergent Community Development Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

12479 Issued in TX

Legal business name

EMERGENT COMMUNITY DEVELOPMENT CORPORATION

Practice address

1140 Empire Central Dr
Suite 260
Dallas, TX 75247-4322

Phone

(214) 432-8296

Fax

(214) 203-0803

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn McCullough, LMSW

Title

Ceo

Phone

(214) 432-8296

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Another Chancee Case Management Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Another Chancee, Inc.

  • Case Manager/Care Coordinator
  • Dallas, TX
  • NPI 1275846388
  NPD tax ID

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1245771930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL DR",
            "address_2": "SUITE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474322",
            "telephone_number": "214-432-8296",
            "fax_number": "214-203-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL DR",
            "address_2": "SUITE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474322",
            "telephone_number": "214-432-8296",
            "fax_number": "214-203-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-432-8296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "12479",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "15397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311514901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311515601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Physicians Care of Lakewood, PLLC
• Emergency Physicians of North Texas PLLC
• Emergency Psychiatric Medicine, PLLC
• Emergency Room of Texas LLC
• Emergency Staffing Solutions Region III
• Emergis ER Coit, LLC
• Emergis ER-Sting, LLC
• Dennis J Emerick, MS
• Brian Eugene Emerson, CNIM, REEGT, REPT
• Melanie Emerson

• Case Management Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.