Lakes Area Medical

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9050 Issued in TX

Legal business name

LAKES AREA MEDICAL

Doing business as

Sabine Neches Home Health

Practice address

150 La Mesa
Bridge City, TX 77611-3020

Phone

(409) 735-6100

Fax

(409) 735-3783

NPI assigned

Jun 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Lovelace

Title

Owner

Phone

(409) 735-6100

Specialties & licenses 1

Addresses

Other names 1

• Sabine Neches Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265468177. Details of each certification follow.

• CCN 457824 Home health agency · Active · Details

Home health agency certification: CCN 457824

Legal name

LAKES AREA MEDICAL

Doing business as

SABINE NECHES HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 4, 2005

Last certification

Oct 30, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2002 in TX

Enrollment address

150 La Mesa
Bridge City, TX 77611

Listed as

Sabine Neches Home HealthCCN 457824 · All quality measures

Ownership

Proprietary

Certified

May 4, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Wesley D Palmer, D.O.

  • Family Medicine Physician
  • Bridge City, TX
  • NPI 1235111923

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265468177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LA MESA",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113020",
            "telephone_number": "409-735-6100",
            "fax_number": "409-735-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LA MESA",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113020",
            "telephone_number": "409-735-6100",
            "fax_number": "409-735-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-735-6100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "9050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabine Neches Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Obinna I Ifeadike, PHARM D
• Edwina Yvonne Jacobs, FNP
• Sabrina Jeanise, MS, RDN, LD
• Bryanna Kemp
• King's Pharmacy
• Jonathan an Le, DMD
• Sara Lewis, CSFA
• Allison Luce, M.S. CCC-SLP
• Luv Lingerie & Boutique,LLC
• Luv Lingerie and Boutique

• Home Health Agency in Bridge City, TX
• Providers in Bridge City, 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 Aug 22, 2020; 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.

Verify at the official NPI Registry.