NPIMap

Organization Active NPI

Henry Mayo Newhall Memorial Hospital

  • Rehabilitation Hospital Unit
  • Valencia, CA
National Provider Identifier
1114059557
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
Practice address
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone
(661) 253-8000
Fax
(661) 200-1042
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mr. Roger E. Seaver
Title
President, Ceo
Phone
(661) 253-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

23845 McBean Pkwy
Valencia, CA 91355-2001

Mailing address

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 200-1021

Other names 1

  • Henry Mayo Newhall Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000714 CA Part A Provider - Hospital 5193789121 1 other NPI on this enrollment
Practice locations: Valencia, CA

Hospital certification: CCN 05T624

Legal name
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1972 in CA
Enrollment address
23845 McBean Pkwy
Valencia, CA 91355-2001
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Rehabilitation, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Henry Mayo Newhall Mem HospCCN 05T624
Ownership
Non-profit
Certified
Oct 1, 1994

National Provider Directory

National Provider Directory
Tax ID family
Henry Mayo Newhall Memo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Roscoe Lyndon Marter Individual Corporate Director Apr 4, 2011
Holly Schroeder Individual Corporate Director Mar 1, 2021
Don J Nishiguchi Individual Corporate Director Dec 12, 2017
John Barstis Individual Corporate Director Apr 1, 2013
Roger Seaver Individual Corporate OfficerPresident/Ceo Apr 1, 2001
W-2 Managing Employee Apr 1, 2001
Other Apr 1, 2001
Judy Fish Individual Corporate Director Jun 3, 2013
Dale Donohoe Individual Corporate Director May 5, 2008
Donald Kimball Individual Corporate Director Apr 24, 2006
Ted Sirotta Individual Corporate Officer Jun 25, 2018
W-2 Managing Employee Jun 25, 2018
Lakhbinder Palsingh Dhanda Individual Corporate Director Mar 5, 2018

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1114059557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23845 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552001",
            "telephone_number": "661-200-1021",
            "fax_number": "661-200-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552001",
            "telephone_number": "661-253-8000",
            "fax_number": "661-200-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY MAYO NEWHALL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SEAVER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "661-253-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Mayo Newhall Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.