NPIMap

Organization Active NPI

Exceptional Health Care Lubbock LLC

Doing business as Exceptional Community Hospital Lubbock

  • Special Hospital
  • Lubbock, TX
National Provider Identifier
1124766514
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
EXCEPTIONAL HEALTH CARE LUBBOCK LLC
Doing business as
Exceptional Community Hospital Lubbock
Practice address
6401 Spur 327
Lubbock, TX 79424-2719
Phone
(469) 341-7800
Fax
(469) 341-7887
NPI assigned
May 25, 2022
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ronald Ivan Collins
Title
Director
Phone
(972) 740-9335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

6401 Spur 327
Lubbock, TX 79424-2719

Mailing address

PO Box 227404
Dallas, TX 75222-7404
Phone (469) 341-7800

Other names 1

  • Exceptional Community Hospital Lubbock Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111003067 TX Part A Provider - Hospital 2860843091 Practice locations: Lubbock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124766514. Details of each certification follow.

Hospital certification: CCN 670327

Legal name
EXCEPTIONAL HEALTH CARE LUBBOCK LLC
Doing business as
EXCEPTIONAL COMMUNITY HOSPITAL LUBBOCK
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 27, 2025
Last certification
May 27, 2025
Beds
7
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 22, 2021 in TX
Enrollment address
6401 Spur 327
Lubbock, TX 79424-2719
Main/Primary Hospital Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
Exceptional Community Hospital LubbockCCN 670327 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
45D2291271Exceptional Community Hospital6401 Spur 327, Lubbock, TX 79424AccreditationNov 18, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Bruce McVeigh Individual Corporate OfficerCoo Jul 22, 2021
W-2 Managing Employee Jul 22, 2021
Saeed Mahboubi Individual Corporate OfficerChief Executive Officer Jul 22, 2021
Mahboubi Investments Organization, Dallas, TX Corporation 5% Or Greater Direct Ownership Interest Oct 7, 2021 35%
Ma Family Investments Organization, Lufkin, TX 5% Or Greater Direct Ownership Interest Oct 7, 2021 33%
Dee You, LLC Organization, Lubbock, TX LLC 5% Or Greater Direct Ownership Interest Oct 7, 2021 7%

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 29

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 29

Affiliated clinicians 8

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": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1124766514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752227404",
            "telephone_number": "469-341-7800",
            "fax_number": "469-341-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 SPUR 327",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242719",
            "telephone_number": "469-341-7800",
            "fax_number": "469-341-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL HEALTH CARE LUBBOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-740-9335"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exceptional Community Hospital Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.