Credence Home and Community Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREDENCE HOME AND COMMUNITY SERVICES LLC

Practice address

3103 Antelope Dr
Mesquite, TX 75181-3671

Phone

(214) 971-1584

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2020By 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

Aloysius Jingwa

Title

RN, Program Director

Phone

(214) 971-1584

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1558996124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 ANTELOPE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751813671",
            "telephone_number": "214-497-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 ANTELOPE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751813671",
            "telephone_number": "214-971-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENCE HOME AND COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "JINGWA",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_title_or_position": "RN, PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "214-971-1584"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.