Active NPI
Pine Valley Specialty Hospital Operator LLC
- Long Term Care Hospital
- Houston, TX
National Provider Identifier
1184089054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- PINE VALLEY SPECIALTY HOSPITAL OPERATOR LLC
- Doing business as
- Pine Valley Specialty Hospital
- Practice address
- 6160 South Loop E
Houston, TX 77087-1010 - Phone
- (713) 640-2400
- Fax
- (713) 644-7515
- NPI assigned
- Dec 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josef Neuman
- Title
- Ceo
- Phone
- (214) 396-3462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | TX | Primary |
Addresses
Primary practice location
6160 South Loop E
Houston, TX 77087-1010
Mailing address
111 Clifton Ave
Lakewood, NJ 08701-3342
Phone (214) 396-3462
Other names 1
- Pine Valley Specialty Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 452043
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PINE VALLEY SPECIALTY HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Dec 31, 2019
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Sep 1, 1994
- Last certification
- Feb 9, 2017
- Beds
- 59
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jan 1, 2016 (5 total)
- Facility address
- 6160 S Loop East
Houston, TX 77087
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450569600000",
"number": "1184089054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLIFTON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013342",
"telephone_number": "214-396-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 SOUTH LOOP E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871010",
"telephone_number": "713-640-2400",
"fax_number": "713-644-7515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE VALLEY SPECIALTY HOSPITAL OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-20",
"last_updated": "2015-12-20",
"status": "A",
"authorized_official_last_name": "NEUMAN",
"authorized_official_first_name": "JOSEF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-396-3462"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Valley Specialty Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.