Organization Active NPI

C&I Holdings, LLC

Doing business as Lone Star Behavioral Health, Cypress

  • Physician Assistant
  • Cypress, TX
National Provider Identifier
1184989287
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
C&I HOLDINGS, LLC
Doing business as
Lone Star Behavioral Health, Cypress
Practice address
16303 Grant Rd
Cypress, TX 77429-1253
Phone
(281) 516-6186
Fax
(281) 516-6206
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Mr. Nathan Ingram
Title
Administrator
Phone
(281) 516-6186

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

16303 Grant Rd
Cypress, TX 77429-1253

Mailing address

16303 Grant Rd
Cypress, TX 77429-1253
Phone (281) 516-6186

Other identifiers 1

IdentifierTypeStateIssuer
TXB161855OtherMEDICARE PTAN

Other names 1

  • Lone Star Behavioral Health, Cypress Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000513 TX Part B Supplier - Clinic/Group Practice 7517131428 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lone Star Behavioral Health, CypressCypress, TX, CCN 454118 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 14, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1184989287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 GRANT RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291253",
            "telephone_number": "281-516-6186",
            "fax_number": "281-516-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 GRANT RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291253",
            "telephone_number": "281-516-6186",
            "fax_number": "281-516-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&I HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-516-6186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB161855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Behavioral Health, Cypress",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.