NPIMap

Organization Active NPI

The Gulf Coast Center

  • Case Management Agency
  • League City, TX
National Provider Identifier
1801939541
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE GULF COAST CENTER
Practice address
4444 W Main St
League City, TX 77573-1737
Phone
(409) 763-2373
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Rick Elizondo
Title
Cfo
Phone
(409) 763-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X TX Primary

Addresses

Primary practice location

4444 W Main St
League City, TX 77573-1737

Mailing address

4444 W Main St
League City, TX 77573-1737
Phone (409) 763-2373

Other identifiers 1

IdentifierTypeStateIssuer
135222102MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
The Gulf Coast Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1801939541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GULF COAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "409-763-2373"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135222102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.