Provider Demographics
NPI:1740151257
Name:JOSHUA COMMUNITY ISS
Entity type:Organization
Organization Name:JOSHUA COMMUNITY ISS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-663-7057
Mailing Address - Street 1:3200 S LANCASTER RD STE 625-3
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-4555
Mailing Address - Country:US
Mailing Address - Phone:469-693-3099
Mailing Address - Fax:
Practice Address - Street 1:3200 S LANCASTER RD STE 625-3
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-4555
Practice Address - Country:US
Practice Address - Phone:469-693-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No291U00000XLaboratoriesClinical Medical Laboratory
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No177F00000XOther Service ProvidersLodging
No251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care