Organization Active NPI

Crest Healthcare Services Inc

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1922038868
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009239 Issued in TX
Legal business name
CREST HEALTHCARE SERVICES INC
Practice address
1111 Belt Line Rd Ste 201B
Garland, TX 75040-3201
Phone
(972) 496-5252
Fax
(972) 236-0009
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mary Eringo, RN
Title
Administrator
Phone
(972) 496-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009239 TX Primary

Addresses

Primary practice location

1111 Belt Line Rd Ste 201B
Garland, TX 75040-3201

Mailing address

1111 Belt Line Rd Ste 201B
Garland, TX 75040-3201
Phone (972) 496-5252

Other practice location 1

1513 Caldwell Cir
Carrollton, TX 75010-6434
Phone (214) 695-3930

Other identifiers 1

IdentifierTypeStateIssuer
009239MedicaidTX

National Provider Directory

National Provider Directory

Locations

1111 Belt Line Rd
Ste 201B
Garland, TX 75040
Phone (469) 250-8242

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922038868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BELT LINE RD STE 201B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403201",
            "telephone_number": "972-496-5252",
            "fax_number": "972-236-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BELT LINE RD STE 201B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403201",
            "telephone_number": "972-496-5252",
            "fax_number": "972-236-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 Caldwell Cir",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750106434",
            "country_code": "US",
            "telephone_number": "214-695-3930",
            "fax_number": "972-492-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREST HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ERINGO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-496-5252",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009239",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.