MEMORIAL HOSPITAL HOME HEALTH
NPI 1437158714
Home Health in Gonzales, TX

Active since July 19, 2005CLIA Certified · 2 labs
1314 N SARAH DEWITT DR, GONZALES, TX 78629(830) 672-7581(830) 672-2401 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2023, Oct 21, 2022, Apr 7, 2021 and 1 more (4 updates tracked since 2020).

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About Memorial Hospital Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HOSPITAL HOME HEALTH (NPI 1437158714) is a home health in Gonzales, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 31, 2027 and lists Amanda Frederick, Home Health Administrator, as its authorized official.Information from the official NPPES registry record, last updated April 19, 2023.

NPPES Registry Identity

NPI1437158714
Entity TypeOrganization
Legal Business NameGONZALES HEALTHCARE SYSTEMS
Location Address1314 N SARAH DEWITT DRGonzales, TX 78629-3314
Mailing AddressPo Box 587Gonzales, TX 78629-0587 · (830) 672-7581 · Fax (830) 672-2401
Fax(830) 672-2401
Organization SubpartYesParent: Gonzales Healthcare System
Authorized OfficialAmanda FrederickHome Health Administrator · (830) 672-9508
Enumeration DateJuly 19, 2005
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1437158714 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Home Health

Taxonomy 251E00000X · Agencies

Licensed in TX · 001500

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other… Show more

1314 N SARAH DEWITT DR, Gonzales, TX 78629

Also on File with NPPES

Other Names1
Memorial Hospital Home Health (Doing Business As)
Other Identifiers3
023701801 (Medicaid, TX)
8600 (Medicaid, TX)
6483 (Medicaid, TX)
Last updated in NPPES on April 19, 2023 · 4 updates tracked since enumeration.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0504147
Facility Type
Hospital
Certificate Effective Date
April 01, 2025
Certificate Expiration Date
March 31, 2027
Laboratory Director
ANGELA G. LAPUS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Memorial Hospital Home Health after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MEMORIAL HOSPITAL HOME HEALTH

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Home Health
1314 N SARAH DEWITT DR
GONZALES, TX 78629
Home Health
1314 N SARAH DEWITT DR
GONZALES, TX 78629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437158714, enumerated as an "organization" on July 19, 2005.

The provider is located at 1314 N SARAH DEWITT DR GONZALES, TX 78629 and the phone number is (830) 672-7581.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.