Organization Active NPI

Djcrc, Inc.

Doing business as Life Management Services

  • Case Management Agency
  • Corpus Christi, TX
National Provider Identifier
1710014238
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DJCRC, INC.
Doing business as
Life Management Services
Practice address
801 Lipan St
Corpus Christi, TX 78401-2405
Phone
(361) 887-1866
Fax
(361) 888-6475
NPI assigned
Feb 28, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mrs. Donna Johnson, M.ED., LPC, CRC
Title
Program Director
Phone
(361) 887-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

801 Lipan St
Corpus Christi, TX 78401-2405

Mailing address

801 Lipan St
Corpus Christi, TX 78401-2405
Phone (361) 887-1866

Other names 1

  • Life Management Services Doing business as

National Provider Directory

National Provider Directory

Locations

801 Lipan St
Corpus Christi, TX 78401
Phone (361) 887-1866

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1710014238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LIPAN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012405",
            "telephone_number": "361-887-1866",
            "fax_number": "361-888-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LIPAN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012405",
            "telephone_number": "361-887-1866",
            "fax_number": "361-888-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJCRC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "361-887-1866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Management Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.