Active NPI
Chca Bayshore, L.P.
Doing business as HCA Houston Healthcare Southeast
- Skilled Nursing Facility
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- CHCA BAYSHORE, L.P.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Bayshore Medical Center
- Rehabilitation Hospital Unit
- Pasadena, TX
- NPI 1154375129
3173437753
-
dba Bayshore Medical Center
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
3173437753
Care Compare: Nursing home
Medicare Care Compare- Listed as
- HCA Houston Healthcare Southeast
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- Apr 12, 2024
- Medicare certification status
- Active
- Certified beds
- 30
- Chain
- HCA Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Chca Bayshore LP
- 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.
-
dba HCA Houston ER 24/7 - North Channel, a department of HCA Houston Healthcare Southeast
- Emergency Care Clinic/Center
- Houston, TX
- NPI 1033058243
-
dba Women's Care Center - East Houston, a department of HCA Houston Healthcare Southeast
- Clinic/Center
- Houston, TX
- NPI 1104750132
-
dba Bayshore Medical Center
- Rehabilitation Hospital Unit
- Pasadena, TX
- NPI 1154375129
-
dba Bayshore Medical Center
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
-
dba Bayshore Medical Center
- Ambulatory Surgical Clinic/Center
- Pasadena, TX
- NPI 1245284215
-
dba Women's Care Center-Baytown, a department of HCA Houston Healthcare Southeast
- Clinic/Center
- Baytown, TX
- NPI 1659205672
-
dba HCA Houston ER 24/7 - Fairmont, a department of HCA Houston Healthcare Southeast
- Emergency Care Clinic/Center
- Pasadena, TX
- NPI 1982543195
-
dba Midwives of East Houston
- Advanced Practice Midwife
- Houston, TX
- NPI 1528390010
-
dba Women's Care Center - Pasadena, a department of HCA Houston Healthcare Southeast
- Clinic/Center
- Pasadena, TX
- NPI 1649101726
-
dba Women's Care Center - Broadway, a department of HCA Houston Healthcare Southeast
- Clinic/Center
- Houston, TX
- NPI 1750212932
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.
| Name | Role | Since | Share |
|---|---|---|---|
| HCA Squared LLC | 5% Or Greater Indirect Ownership Interest | Oct 24, 2011 | 5.37% |
| HCA Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 100% |
| Eric D Smith | Operational/Managerial Control | Mar 1, 2021 | |
| HCA Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 100% |
| Houston Healthcare Holdings, Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 100% |
| Jackson Wagner | Operational/Managerial Control | May 1, 2023 | |
| Columbia/HCA of Houston, Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 100% |
| Women's Hospital Indianapolis, L.P. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 18.27% |
| Limited Partnership Interest | Jul 1, 2011 | 18.27% | |
| Jeffrey Bruce Gibberman | Operational/Managerial Control | Aug 2, 2023 | |
| Adp of the SNF | May 19, 2025 | ||
| Demetrios P Magoulas | Corporate Officer | Dec 5, 2023 | |
| Operational/Managerial Control | Dec 5, 2025 | ||
| Hercules Holding II | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 18% |
| Pasadena Bayshore Hospital, Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 99% |
| General Partnership Interest | Jul 1, 2011 | 1% | |
| HCA Health Services of Texas Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 10.6% |
| Healthtrust Inc - the Hospital Company | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 100% |
| Hospital Corp LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 5.37% |
| Indianapolis Hospital Partner, LLC | 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 | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 5.61% |
| Frisco Holding II | 5% Or Greater Indirect Ownership Interest | Nov 17, 2006 | 9.54% |
| Hti Hospital Holdings Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 24.76% |
| Bayshore Partner, LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2011 | 99% |
| Limited Partnership Interest | Jul 1, 2011 | 99% | |
| Healthserv Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 10.6% |
| Columbia Hospital Corporation - Delaware | 5% Or Greater Indirect Ownership Interest | Jul 1, 2011 | 6.49% |
| Yasmene McDaniel | Corporate 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.
-
- Physical Medicine & Rehabilitation Physician
- Webster, TX
- NPI 1659358968
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 272
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Medical City Mental Health and Wellness Center - Alliance
- Psychiatric Hospital
- Fort Worth, TX
- NPI 1316775935
HCA Health Services of Texas Inc, HCA Squared LLC, Healthserv Acquisition LLC, Hospital Corp LLC, Hti Hospital Holdings Inc
-
dba Medical City Healthcare at Home
- Home Health Agency
- Irving, TX
- NPI 1639180235
Frisco Holding II, HCA Squared LLC, Hospital Corp LLC
-
dba Corpus Christi Healthcare at Home
- Home Health Agency
- Corpus Christi, TX
- NPI 1124070065
Frisco Holding II, HCA Squared LLC, Hospital Corp LLC
-
dba Medical City Hospice & Family Care
- Community Based Hospice Care Agency
- Irving, TX
- NPI 1891049995
Frisco Holding II, HCA Squared LLC, Hospital Corp LLC
-
dba Corpus Christi Medical Center
- Psychiatric Hospital Unit
- Corpus Christi, TX
- NPI 1043449143
Columbia Hospital Corporation - Delaware, Hti Hospital Holdings Inc
-
dba Corpus Christi Medical Center
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1508810573
Columbia Hospital Corporation - Delaware, Hti Hospital Holdings Inc
-
dba Corpus Christi Medical Center - Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Corpus Christi, TX
- NPI 1669732707
Columbia Hospital Corporation - Delaware, Hti Hospital Holdings Inc
-
dba Bayshore Medical Center
- Rehabilitation Hospital Unit
- Pasadena, TX
- NPI 1154375129
Bayshore Partner, LLC, Columbia Hospital Corporation - Delaware, Columbia Hospital Corporation of West Houston, Columbia/HCA of Houston, Inc, HCA Health Services of Texas Inc, HCA Squared LLC, Healthserv Acquisition LLC, Hospital Corp LLC, Houston
-
dba Bayshore Medical Center
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
Bayshore Partner, LLC, Columbia Hospital Corporation - Delaware, Columbia Hospital Corporation of West Houston, Columbia/HCA of Houston, Inc, HCA Health Services of Texas Inc, HCA Squared LLC, Healthserv Acquisition LLC, Hospital Corp LLC, Houston
-
dba HCA Houston Healthcare Clear Lake
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
Columbia Hospital Corporation - Delaware, Columbia Hospital Corporation of West Houston, Columbia/HCA of Houston, Inc, HCA Health Services of Texas Inc, HCA Squared LLC, Healthserv Acquisition LLC, Hospital Corp LLC, Houston Healthcare Holdings, in
-
dba HCA Houston Healthcare Clear Lake
- Rehabilitation Hospital Unit
- Webster, TX
- NPI 1881648855
Columbia Hospital Corporation - Delaware, Columbia Hospital Corporation of West Houston, Columbia/HCA of Houston, Inc, HCA Health Services of Texas Inc, HCA Squared LLC, Healthserv Acquisition LLC, Hospital Corp LLC, Houston Healthcare Holdings, in
-
dba Conroe Regional Medical Center
- Rehabilitation Hospital Unit
- Conroe, TX
- NPI 1700219037
Columbia Hospital Corporation - Delaware, Columbia Hospital Corporation of West Houston, Columbia/HCA of Houston, Inc, HCA Health Services of Texas Inc, HCA Squared LLC, Healthserv Acquisition LLC, Hospital Corp LLC, Houston Healthcare Holdings, in
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.
-
dba Midwives of East Houston
- Advanced Practice Midwife
- Houston, TX
- NPI 1528390010
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.
-
- Advanced Practice Midwife
- Spring, TX
- NPI 1861425639
-
- Advanced Practice Midwife
- Houston, TX
- NPI 1821564717
-
- Advanced Practice Midwife
- Houston, TX
- NPI 1265438485
-
- Advanced Practice Midwife
- Houston, TX
- NPI 1518293026
-
- Nurse Practitioner
- Houston, TX
- NPI 1689963720
-
- Advanced Practice Midwife
- Pasadena, TX
- NPI 1083807770
-
- Advanced Practice Midwife
- Houston, TX
- NPI 1336467273
-
- Obstetrics & Gynecology Physician
- Pasadena, TX
- NPI 1700878493
-
- Advanced Practice Midwife
- Beaumont, TX
- NPI 1457356438
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
- Chca Bayshore LP (Bayshore Medical Center)
- Chca Bayshore LP (Bayshore Medical Center)
- Chca Bayshore LP (Bayshore Medical Center)
- Chca Bayshore LP (Bayshore Medical Center)
- Chca Bayshore LP (HCA Houston ER 24/7 - Fairmont, a department of HCA Houston Healthcare Southeast)
- Chca Bayshore, L.P. (Women's Care Center - Pasadena, a department of HCA Houston Healthcare Southeast)
- Connie Maria Chen, RDLD
- Yi-Hsiu Chen, O.D.
- Brittany Shinette Chenevert
- Daisy Cherian, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.