CCN: 458370 NPI: 1255391827 Organization

BRAZOSPORT REGIONAL HOME HEALTH

194 ABNER JACKSON PARKWAY
LAKE JACKSON, TX 775665160

Contact Information

Phone 9792993236
Fax 9792996407
Enumeration Date 2006-03-27
Last Updated 2009-02-20

Taxonomies

Code: 251E00000X (Primary) License State: TX License: 003500

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 26420

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 09