Provider Demographics
NPI:1760628309
Name:CRP CONCEPTS, LLC
Entity Type:Organization
Organization Name:CRP CONCEPTS, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINIKA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:POLK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-896-9247
Mailing Address - Street 1:15844 CHRISTOPHER LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-3624
Mailing Address - Country:US
Mailing Address - Phone:972-896-9247
Mailing Address - Fax:
Practice Address - Street 1:502 W OAK ST STE 201
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-0404
Practice Address - Country:US
Practice Address - Phone:972-896-9247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-04
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care