Christiant Tabernacle Home and Community Support Service Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHRISTIANT TABERNACLE HOME AND COMMUNITY SUPPORT SERVICE AGENCY

Practice address

4222 Rosehill Rd
Suite 14
Garland, TX 75043-2503

Phone

(214) 703-3292

Fax

(214) 703-3293

NPI assigned

Jul 31, 2006

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

Mrs. Jewel L Johnson

Title

Owner/Alt Administrator

Phone

(214) 703-3292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851306260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 ROSEHILL RD",
            "address_2": "SUITE 14",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432503",
            "telephone_number": "214-703-3292",
            "fax_number": "214-703-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 ROSEHILL RD",
            "address_2": "SUITE 14",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432503",
            "telephone_number": "214-703-3292",
            "fax_number": "214-703-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANT TABERNACLE HOME AND COMMUNITY SUPPORT SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "214-703-3292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Home Health Agency 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.