CREDENCE HOME HEALTH SERVICES INC. NPI 1093732729

NPI Information

  • NPI: 1093732729
  • Provider Name: CREDENCE HOME HEALTH SERVICES, INC.
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • CLIA Number: 45D1058749
  • Address: 9319 LBJ FREEWAY
    SUITE 203
    DALLAS, TX
    ZIP 75243
  • Phone: (972) 994-9200

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NPI Details

CREDENCE HOME HEALTH SERVICES, INC. is a home health in Dallas, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CREDENCE HOME HEALTH SERVICES, INC. NPI is 1093732729. The provider is registered as an organization entity type.

The provider's business location address is:

9319 LBJ FREEWAY
SUITE 203
DALLAS, TX
ZIP 75243-473
Phone: (972) 994-9200
Fax: (972) 994-9201

The provider's authorized official is Iyobosa Richard Ozigbo .
The authorized official title is Administrator and has the following contact phone number (972) 994-9200.

The CLIA number assigned to this NPI record is 45D1058749 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 5/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2251E00000XHome Health010825TEXASYes
3251F00000XHome InfusionNo
43747A0650XTechnicianAttendant Care Provider010825TEXASNo
53747P1801XTechnicianPersonal Care AttendantTEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010825OTHERTEXASHOME HEALTH LICENSE
2010825OTHERTEXASLICENSE NUMBER
3214826401MEDICAIDTEXAS
4679703OTHERTEXASMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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