Organization Active NPI

CHG Hospital Conroe, LLC

Doing business as Cornerstone Specialty Hospitals Conroe

  • Long Term Care Hospital
  • Conroe, TX
National Provider Identifier
1073901476
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CHG HOSPITAL CONROE, LLC
Doing business as
Cornerstone Specialty Hospitals Conroe
Practice address
1500 Grand Lake Dr
Conroe, TX 77304-2891
Phone
(936) 523-1800
NPI assigned
Jan 7, 2015
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

1500 Grand Lake Dr
Conroe, TX 77304-2891

Mailing address

2200 Ross Ave Ste 5400
Dallas, TX 75201-7918
Phone (469) 621-6700

Other identifiers 1

IdentifierTypeStateIssuer
357216601MedicaidTX

Other names 1

  • Cornerstone Specialty Hospitals Conroe Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825003841 TX Part A Provider - Hospital 4688980428 Practice locations: Conroe, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073901476. Details of each certification follow.

Hospital certification: CCN 452107

Legal name
CHG HOSPITAL CONROE, LLC
Doing business as
CORNERSTONE SPECIALTY HOSPITALS CONROE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Nov 13, 2007
Last certification
May 23, 2024
Beds
41
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2015 (1 total)
Organization structure
LLCProprietary
Incorporated
Dec 22, 2014 in TX
Enrollment address
1500 Grand Lake Dr
Conroe, TX 77304-2891
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Cornerstone Hospital ConroeCCN 452107 · All quality measures
Ownership
For profit
Certified
Nov 13, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Beds
41

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1071902CHG Hospital Conroe LLC Dba1500 Grand Lake Dr, Conroe, TX 77304AccreditationMay 13, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Cornerstone Healthcare Group Holding Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Scott Graeser Individual Corporate OfficerVP, Treasurer Jan 20, 2023
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
W-2 Managing EmployeeAd; Mar 17, 2025
CHG Hospital Operations Company LLC Organization, Dallas, TX Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Kentucky Hospital Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Solara Hospital Conroe LP Organization, Dallas, TX 5% Or Greater Direct Ownership Interest Jun 1, 2015 100%
Deanna Schiavone Individual Corporate OfficerCfo Jan 20, 2023
Knight Health Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Michael Joseph Bean Individual Corporate OfficerVP, Tax Jan 20, 2023
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
CHG Conroe Holding LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2015 89.5%
Kentucky Hospital Holdings JV LP Organization, Louisville, KY 5% Or Greater Indirect Ownership Interest Jan 20, 2023 100%
Linn Billingsley Individual Corporate DirectorPresident May 13, 2025

Facilities with the same owner 97

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

View all 97

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1073901476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROSS AVE STE 5400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017918",
            "telephone_number": "469-621-6700",
            "fax_number": "469-621-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND LAKE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042891",
            "telephone_number": "936-523-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHG HOSPITAL CONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357216601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Specialty Hospitals Conroe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Specialty Hospitals Conroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.