Community Hospital of Brazosport

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003500 Issued in TX

Legal business name

COMMUNITY HOSPITAL OF BRAZOSPORT

Doing business as

Brazosport Regional Home Health

Practice address

194 Abner Jackson Parkway
Lake Jackson, TX 77566-5160

Phone

(979) 299-3236

Fax

(979) 299-6407

NPI assigned

Mar 27, 2006

Last updated

Feb 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY HOSPITAL OF BRAZOSPORTAs reported in NPPES

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

Authorized official

Name

Charla R Little, RN

Title

Administrator

Phone

(979) 299-3236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brazosport Regional Home Health Doing business as

Part of

William H Nelms MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1255391827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 ABNER JACKSON PKWY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665160",
            "telephone_number": "979-299-3236",
            "fax_number": "979-299-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 ABNER JACKSON PARKWAY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665160",
            "telephone_number": "979-299-3236",
            "fax_number": "979-299-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF BRAZOSPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL OF BRAZOSPORT",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-299-3236",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION #",
            "identifier": "458370",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazosport Regional Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.