Active NPI
Gulf Coast Primary Home Care Inc
- Home Health Agency
- Lake Jackson, TX
National Provider Identifier
1831162684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
- Last updated
- Jun 1, 2015
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
190 Abner Jackson Pkwy Ste 230
Lake Jackson, TX 77566-5170
Mailing address
190 Abner Jackson Pkwy Ste 230
Lake Jackson, TX 77566-5170
Phone (979) 529-2525
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1032062 | Gulf Coast Primary Home Care Inc | Certificate of waiver | Oct 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
190 Abner Jackson Pkwy
Ste 230
Lake Jackson, TX 77566
Phone (979) 529-2525
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
- 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 (HEB Pharmacy #707)
- Diane Marie Haas, P.T.
Sources for this page
- 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.