Organization Active NPI

Help Home Primary Care, PLLC

  • Primary Care Clinic/Center
  • Lake Jackson, TX
National Provider Identifier
1003673211
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HELP HOME PRIMARY CARE, PLLC
Practice address
127 Circle Way St Ste C
Lake Jackson, TX 77566-5271
Phone
(979) 480-0197
Fax
(979) 480-0332
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mrs. Shari Wilson, FNP-CNPI 1629602354
Title
Owner
Phone
(979) 480-0197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

127 Circle Way St Ste C
Lake Jackson, TX 77566-5271

Mailing address

127 Circle Way St Ste C
Lake Jackson, TX 77566-5271
Phone (979) 480-0197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000196 TX Part B Supplier - Clinic/Group Practice 7719327683 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Jackson, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2300973Help Home Primary Care, PLLC127 Circle Way Suite C, Lake Jackson, TX 77566Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Locations

127 Circle Way St
Ste C
Lake Jackson, TX 77566
Phone (512) 202-1678

Practitioners & affiliated clinicians

Practitioners 1

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1003673211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CIRCLE WAY ST STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665271",
            "telephone_number": "979-480-0197",
            "fax_number": "979-480-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CIRCLE WAY ST STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665271",
            "telephone_number": "979-480-0197",
            "fax_number": "979-480-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELP HOME PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-480-0197",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.