Organization Active NPI

Helping Hands and Hearts Hospice

  • Community Based Hospice Care Agency
  • Lake Jackson, TX
National Provider Identifier
1215936869
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
008168 Issued in TX
Legal business name
HELPING HANDS AND HEARTS HOSPICE
Practice address
103 Circle Way St Ste 100
Lake Jackson, TX 77566-5233
Phone
(979) 297-3775
Fax
(979) 297-2774
NPI assigned
Jul 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Mrs. Sherwyn D Moore, LVN
Title
Administrator
Phone
(979) 297-3775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 008168 TX Primary

Addresses

Primary practice location

103 Circle Way St Ste 100
Lake Jackson, TX 77566-5233

Mailing address

103 Circle Way St Ste 100
Lake Jackson, TX 77566-5233
Phone (979) 297-3775

Other identifiers 3

IdentifierTypeStateIssuer
001007562MedicaidTX
HH009COtherTXCONTRACT- BCBS
7849504OtherTXCONTRACT- AETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

103 Circle Way St
#100
Lake Jackson, TX 77566
Phone (979) 297-3775

456 Plantation Dr
Lake Jackson, TX 77566
Phone (979) 297-3775

412 Plantation Dr
Lake Jackson, TX 77566
Phone (979) 297-3775

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 17, 2018 Change of OwnershipThis provider was the seller Choice Health at HomeCCN 451727, TX, NPI 1275644353

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1121472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1215936869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CIRCLE WAY ST STE 100",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-297-3775",
            "fax_number": "979-297-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CIRCLE WAY ST STE 100",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-297-3775",
            "fax_number": "979-297-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELPING HANDS AND HEARTS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-16",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHERWYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-297-3775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "008168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007562",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT- BCBS",
            "identifier": "HH009C",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT- AETNA",
            "identifier": "7849504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.