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EMERGENT COMMUNITY DEVELOPMENT CORPORATION NPI 1245771930


NPI Information

NPI: 1245771930
Provider Name: EMERGENT COMMUNITY DEVELOPMENT CORPORATION
Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 45D2156568

Address:
1140 EMPIRE CENTRAL DR
SUITE 260
DALLAS, TX
ZIP 75247
Phone: (214) 432-8296
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EMERGENT COMMUNITY DEVELOPMENT CORPORATION is a case management in Dallas, TX. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. EMERGENT COMMUNITY DEVELOPMENT CORPORATION NPI is 1245771930. The provider is registered as an organization entity type.

The provider's business location address is:

1140 EMPIRE CENTRAL DR
SUITE 260
DALLAS, TX
ZIP 75247-322
Phone: (214) 432-8296
Fax: (214) 203-0803

The provider's authorized official is Carolyn Mccullough .
The authorized official title is Ceo and has the following contact phone number (214) 432-8296.

The CLIA number assigned to this NPI record is 45D2156568 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2017 and was last updated on 3/14/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management15397TEXASNo
2251B00000XCase Management12479TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1311514901MEDICAIDTEXAS
2311515601MEDICAIDTEXAS

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: 4/28/2024

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