Active NPI
Helping Hands and Hearts Hospice
- Community Based Hospice Care Agency
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 008168
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001007562 | Medicaid | TX | |
| HH009C | Other | TX | CONTRACT- BCBS |
| 7849504 | Other | TX | CONTRACT- AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Apr 17, 2018 | Change of Ownership | Choice Health at Home |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Corpus Christi, TX
- NPI 1275644353
Sold to, 2018-04-17
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Lake Jackson, TX
- NPI 1598178998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.