Gulf Coast Primary Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GULF COAST PRIMARY HOME CARE INC

Practice address

190 Abner Jackson Pkwy Ste 230
Lake Jackson, TX 77566-5170

Phone

(979) 529-2525

Fax

(979) 529-2539

NPI assigned

Feb 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Roman

Title

Administrator

Phone

(979) 529-2525

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1831162684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ABNER JACKSON PKWY STE 230",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665170",
            "telephone_number": "979-529-2525",
            "fax_number": "979-529-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ABNER JACKSON PKWY STE 230",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665170",
            "telephone_number": "979-529-2525",
            "fax_number": "979-529-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PRIMARY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-529-2525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004864",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "001012724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Gastroenterology Infusion
• Gulf Coast Gastroenterology Lab
• Gulf Coast Gastroenterology, PA
• Gulf Coast Med Supplies LLC
• Gulf Coast Plastic Surgery P a
• Gulf Coast Sleep Center and Diagnostics LLC
• Gulf Coast Sleep Center, L.P.
• Andrew Gunter, CRNA
• H-E-B, LP
• Diane Marie Haas, P.T.

• 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 Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.