Community Services of Northeast Texas, Inc

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

COMMUNITY SERVICES OF NORTHEAST TEXAS, INC

Practice address

304 E Houston
Linden, TX 75563-0427

Phone

(903) 756-5596

Fax

(903) 756-7294

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 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

Mr. Dan Boyd

Title

Executive Director

Phone

(903) 756-5596

Specialties & licenses 1

Addresses

Other names 1

• Community Council of Cass, Marion and Morris Counties Former legal business name

Tax ID family

Community Council of Cass Marion and Morris Counties2 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.

• Community Services of Northeast Texas, Inc.

  • Voluntary or Charitable Agency
  • Linden, TX
  • NPI 1790187813
  NPD tax ID

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598897944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "LINDEN",
            "state": "TX",
            "postal_code": "755630427",
            "telephone_number": "903-756-5596",
            "fax_number": "903-756-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E HOUSTON",
            "city": "LINDEN",
            "state": "TX",
            "postal_code": "755630427",
            "telephone_number": "903-756-5596",
            "fax_number": "903-756-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICES OF NORTHEAST TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-756-5596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Council of Cass, Marion and Morris Counties",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• B2TF LTC Pharmacy LLC (B2TF Pharmacy)
• Chrystal G Brown, FNP-C, APRN
• Chambers County Public Hospital District No 1 (Focused Care at Linden)
• Ian Coker
• Community Services of Northeast Texas, Inc.
• Kimberly Fitts, FNP-C
• Good Shepherd Medical Center - Linden Inc
• Good Shepherd Medical Center - Linden Inc
• Good Shepherd Medical Center - Linden, Inc (Good Shepherd Glenn-Garrett Clinic - Linden)

• Case Manager/Care Coordinator in Linden, TX
• Providers in Linden, 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 Aug 22, 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.