Gulf Coast Regional Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010463 Issued in TX

Legal business name

GULF COAST REGIONAL HEALTH SERVICES

Practice address

5925 Phelan Blvd
Suite I-130
Beaumont, TX 77706-6253

Phone

(409) 866-8455

Fax

(409) 866-7210

NPI assigned

Mar 2, 2007

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

Mrs. Fredericka Phillips, RN

Title

Administrator

Phone

(409) 866-8455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770612244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 PHELAN BLVD",
            "address_2": "SUITE I-130",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066253",
            "telephone_number": "409-866-8455",
            "fax_number": "409-866-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 PHELAN BLVD",
            "address_2": "SUITE I-130",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066253",
            "telephone_number": "409-866-8455",
            "fax_number": "409-866-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST REGIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "FREDERICKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-866-8455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Guillory
• Lacresha Guillory
• Valerie Ann Guillory
• Gulf Coast Chiropractic
• Gulf Coast Medical Evaluations
• Gulfside Dental
• Gulfside Dental - Old Town PLLC
• Virginia (Ginger) Silloway Gummelt, PHD, LCSW
• Maneesh Gupta
• Mehmet Gurgun, M.D.

• Home Health Agency in Beaumont, TX
• Providers in Beaumont, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.