Organization Active NPI

Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
National Provider Identifier
1003281452
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
8436-HOS-0 Issued in NV
Legal business name
HENDERSON HOSPITAL
Practice address
1050 West Galleria Drive
Henderson, NV 89011
Phone
(702) 963-7000
NPI assigned
Dec 10, 2015
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Steve Filton
Title
Cfo, Senior VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 8436-HOS-0 NV Primary

Addresses

Primary practice location

1050 West Galleria Drive
Henderson, NV 89011

Mailing address

1050 West Galleria Drive
Henderson, NV 89011

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160602001126 NV Part A Provider - Hospital 9739479874 2 other NPIs on this enrollment
Practice locations: Henderson, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003281452. Details of each certification follow.

Hospital certification: CCN 290057

Legal name
HENDERSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 21, 2016
Last certification
Jan 28, 2023
Beds
166
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jan 16, 1998 in DE
Enrollment address
1050 W Galleria Drive
Henderson, NV 89011-1706
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Henderson HospitalCCN 290057 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Henderson Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerSecretary Oct 31, 2016 100%
Samuel H Kaufman Individual Contracted Managing EmployeeCeo Oct 31, 2016 100%
Corporate OfficerCeo Oct 31, 2016 100%
Edward Sim Individual Corporate OfficerPresident Acute Care Division Dec 5, 2022 100%
Corporate DirectorPresident Acute Care Division Dec 5, 2022 33.3%
Operational/Managerial ControlPresident Acute Care Division Dec 5, 2022 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerVice President Oct 31, 2016 100%
Corporate DirectorVice President Oct 31, 2016 33.3%
Kyle D Johnson Individual Contracted Managing EmployeeCfo Jan 15, 2024
Corporate OfficerCfo Jan 15, 2024
Steve Filton Individual Corporate OfficerVice President Borad Member Oct 31, 2016 100%
Corporate DirectorVice President Board Member Oct 31, 2016 33.3%
Operational/Managerial ControlVoce President Board Member Oct 31, 2016 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Oct 31, 2016 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Oct 31, 2016
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Oct 31, 2016 50%
Valley Hospital Medical Center Inc Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Oct 31, 2016 100%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation Operational/Managerial Control Oct 31, 2016 100%
Uhs Holding Company, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Oct 31, 2016
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 248

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 248

Affiliated clinicians 429

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 429

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1003281452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WEST GALLERIA DRIVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WEST GALLERIA DRIVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89011",
            "telephone_number": "702-963-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO, SENIOR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NV",
            "license": "8436-HOS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.