Nexus Children's Hospital- Dallas, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

NEXUS CHILDREN'S HOSPITAL- DALLAS, LLC

Practice address

9525 Greenville Ave
Dallas, TX 75243-4116

Phone

(713) 355-6111

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Erin Cassidy

Title

President

Phone

(713) 589-4136

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174240857. Details of each certification follow.

• CCN 453318 Hospital · Active · Details

Hospital certification: CCN 453318

Legal name

NEXUS CHILDRENS HOSPITAL- DALLAS, LLC

Certification status

Active

Provider type (POS)

Hospital – Children’s

Participating since

Feb 5, 2024

Last certification

Feb 5, 2024

Beds

60

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Oct 3, 2022 in TX

Enrollment address

9525 Greenville Ave
Dallas, TX 75243-4116
Main/Primary Hospital Location

Hospital subgroups

Specialty hospital

Listed as

Nexus Childrens Hospital DallasCCN 453318 · All quality measures

Type

Childrens

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

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.

• Hector Manuel Garcia Marrero, MD

  • Pediatrics Physician
  • Odessa, TX
  • NPI 1700040094
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1174240857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERWAY STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561988",
            "telephone_number": "713-355-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434116",
            "telephone_number": "713-355-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS CHILDREN'S HOSPITAL- DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-589-4136"
    },
    "taxonomies": [
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Special Hospital in Dallas, TX
• Providers in Dallas, TX by specialty
• Special Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.

Verify at the official NPI Registry.