Organization Active NPI

Chca Bayshore, L.P.

Doing business as HCA Houston Healthcare Southeast

  • Skilled Nursing Facility
  • Pasadena, TX
National Provider Identifier
1114636354
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHCA BAYSHORE, L.P.
Doing business as
HCA Houston Healthcare Southeast
Practice address
4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone
(713) 359-1000
NPI assigned
Nov 16, 2022
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHCA BAYSHORE, L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Wayne Kent Gordon
Title
Cfo
Phone
(713) 359-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4000 Spencer Hwy
Pasadena, TX 77504-1202

Mailing address

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-1000

Other names 1

  • HCA Houston Healthcare Southeast Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230728000320 TX Part A Provider - Skilled Nursing Facility 3173437753 Practice locations: Pasadena, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114636354. Details of each certification follow.

Skilled nursing facility certification: CCN 745052

Legal name
CHCA BAYSHORE LP
Doing business as
HCA HOUSTON HEALTHCARE SOUTHEAST
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 12, 2024
Last certification
Apr 12, 2024
Beds
30
Ownership / control type
Corporation
Multi-facility organization
HCA
Organization structure
Other
Enrollment address
4801 E Sam Houston Pkwy S
3Rd Floor
Pasadena, TX 77505-3955
Nursing home name
HCA HOUSTON HEALTHCARE SOUTHEAST
Affiliated entity
HCA HEALTHCARE

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
HCA Houston Healthcare SoutheastCCN 745052 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Apr 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3021.6 residents per day on average
Chain
HCA Healthcare3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Chca Bayshore LP11 organizations share this tax ID, including this one
Part of
Chca Bayshore LP

Other organizations with this tax ID 10

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

Locations

Crosby, TX 77532
Phone (281) 328-2020

1140 Westmont Dr
Ste 460B
Houston, TX 77015
Phone (713) 393-2855

13111 East Fwy
Ste 215
Houston, TX 77015
Phone (713) 393-2229

13525 I 10 E
#B
Houston, TX 77015
Phone (713) 393-2229

3933 Broadway St
Houston, TX 77087
Phone (713) 643-1700

3351 Plainview St
Ste A2
Pasadena, TX 77504
Phone (832) 203-5523

3905 Shaver St
Ste 148
Pasadena, TX 77504
Phone (832) 203-5523

3923 Woodlawn Ave
Pasadena, TX 77504
Phone (713) 359-2160

4021 Brookhaven Ave
Pasadena, TX 77504
Phone (713) 359-5490

4801 E Sam Houston Pkwy S
Fl 3
Pasadena, TX 77505
Phone (713) 359-1417

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
HCA Squared LLC Organization, Nashville, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2011 5.37%
HCA Inc Organization, Nashville, TN For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Eric D Smith Individual Operational/Managerial Control Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Houston Healthcare Holdings, Inc Organization, Nashville, TN For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Jackson Wagner Individual Operational/Managerial Control May 1, 2023
Columbia/HCA of Houston, Inc Organization, Nashville, TN For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Women's Hospital Indianapolis, L.P. Organization, Nashville, TN Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 18.27%
Limited Partnership Interest Jul 1, 2011 18.27%
Jeffrey Bruce Gibberman Individual Operational/Managerial Control Aug 2, 2023
Adp of the SNF May 19, 2025
Demetrios P Magoulas Individual Corporate OfficerChief Financial Officer Dec 5, 2023
Operational/Managerial Control Dec 5, 2025
Hercules Holding II Organization, Nashville, TN Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 18%
Pasadena Bayshore Hospital, Inc Organization, Nashville, TN Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 99%
General Partnership Interest Jul 1, 2011 1%
HCA Health Services of Texas Inc Organization, Nashville, TN For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 10.6%
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Hospital Corp LLC Organization, Nashville, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 5.37%
Indianapolis Hospital Partner, LLC Organization, Nashville, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 18.09%
Limited Partnership Interest Jul 1, 2011 18.09%
Columbia Hospital Corporation of West Houston Organization, Nashville, TN Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 5.61%
Frisco Holding II Organization, Nashville, TN For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 17, 2006 9.54%
Hti Hospital Holdings Inc Organization, Nashville, TN Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 24.76%
Bayshore Partner, LLC Organization, Nashville, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2011 99%
Limited Partnership Interest Jul 1, 2011 99%
Healthserv Acquisition LLC Organization, Nashville, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 10.6%
Columbia Hospital Corporation - Delaware Organization, Nashville, TN Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2011 6.49%
Yasmene McDaniel Individual Corporate OfficerChief Executive Officer Oct 17, 2022
Operational/Managerial Control Oct 17, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 272

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

View all 272

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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 4

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1114636354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041202",
            "telephone_number": "713-359-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041202",
            "telephone_number": "713-359-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHCA BAYSHORE, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHCA BAYSHORE, L.P.",
        "enumeration_date": "2022-11-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-359-1006"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Houston Healthcare Southeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.