Active NPI
Joushuas Covenants Residential Care L.L.C.
- Community/Behavioral Health Agency
- Longview, TX
National Provider Identifier
1497030035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JOUSHUAS COVENANTS RESIDENTIAL CARE L.L.C.
- Practice address
- 8 Brownwood Dr
Longview, TX 75602-1902 - Phone
- (903) 917-3191
- NPI assigned
- Oct 14, 2011
- Last updated
- Oct 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vickie R. Skinner
- Title
- Owner
- Phone
- (903) 917-3191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | TX | Primary |
Addresses
Primary practice location
8 Brownwood Dr
Longview, TX 75602-1902
Mailing address
8 Brownwood Dr
Longview, TX 75602-1902
Phone (903) 917-3191
Other names 1
- Joushuas Covenants Residential Care L.L.C.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318550400000",
"number": "1497030035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BROWNWOOD DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756021902",
"telephone_number": "903-917-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BROWNWOOD DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756021902",
"telephone_number": "903-917-3191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOUSHUAS COVENANTS RESIDENTIAL CARE L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "VICKIE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-917-3191",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Joushuas Covenants Residential Care L.L.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.