Active NPI
South West Texas Home Health, Inc.
- Home Health Agency
- Bridge City, TX
National Provider Identifier
1104852193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7359
- Legal business name
- SOUTH WEST TEXAS HOME HEALTH, INC.
- Practice address
- 150 Lamesa Dr
Bridge City, TX 77611-3020 - Phone
- (409) 735-6100
- Fax
- (409) 735-6773
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Michael Lovelace
- Title
- Business Manager
- Phone
- (409) 735-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7359 | TX | Primary |
Addresses
Primary practice location
150 Lamesa Dr
Bridge City, TX 77611-3020
Mailing address
150 Lamesa Dr
Bridge City, TX 77611-3020
Phone (409) 735-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151837501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110125001068 | TX | Part A Provider - Home Health Agency | 3375722135 | Practice locations: Bridge City, TX |
Home health agency certification: CCN 679081
- Legal name
- SOUTH WEST TEXAS HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 24, 2001
- Last certification
- Jul 25, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 17, 1995 in TX
- Enrollment address
- 150 Lamesa Dr
Bridge City, TX 77611-3020
Care Compare: Home health agency
Medicare Care Compare- Listed as
- South West Texas Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 24, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0977797 | South West Texas Home Health, Inc | Certificate of waiver | Sep 6, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert M Lovelace | W-2 Managing Employee | Nov 23, 2010 | |
| Robert C Lovelace | 5% Or Greater Direct Ownership Interest | Nov 23, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Orange, TX
- NPI 1487761375
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1104852193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LAMESA DR",
"city": "BRIDGE CITY",
"state": "TX",
"postal_code": "776113020",
"telephone_number": "409-735-6100",
"fax_number": "409-735-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LAMESA DR",
"city": "BRIDGE CITY",
"state": "TX",
"postal_code": "776113020",
"telephone_number": "409-735-6100",
"fax_number": "409-735-6773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH WEST TEXAS HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "LOVELACE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "409-735-6100"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "7359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151837501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridge City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.