Gulf Coast Community Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

006529 Issued in TX

Legal business name

GULF COAST COMMUNITY HEALTH SERVICES, INC

Practice address

17223 Mercury Dr
Houston, TX 77058-2733

Phone

(281) 484-2727

Fax

(281) 464-7090

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kingsley Eze Agbor

Title

Cfo

Phone

(281) 484-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 459448

Legal name

GULF COAST COMMUNITY HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 22, 1999

Last certification

Apr 9, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 25, 1997 in TX

Enrollment address

17223 Mercury Drive
Houston, TX 77058-3932

Listed as

Gulf Coast Community Health Services IncCCN 459448

Ownership

Proprietary

Certified

Mar 22, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1285705442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17223 MERCURY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582733",
            "telephone_number": "281-484-2727",
            "fax_number": "281-464-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17223 MERCURY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582733",
            "telephone_number": "281-484-2727",
            "fax_number": "281-464-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5906 N Highway 146 Ste 120",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775235612",
            "country_code": "US",
            "telephone_number": "281-484-2727",
            "fax_number": "281-464-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF COAST COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "AGBOR",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "EZE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-484-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Houston, TX
• Providers in Houston, 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 Jun 29, 2026; 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.