Hsa Port Arthur, LLC
Organization Active NPI General Acute Care Hospital · Port Arthur, TX
NPI 1194548073 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1194548073
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- HSA PORT ARTHUR, LLC
- Practice address
- 2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007 - Phone
- (409) 724-7389
- NPI assigned
- Nov 7, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTHCARE SYSTEMS OF AMERICA
Authorized official
- Name
- Aimee Gill
- Title
- Deputy General Counsel
- Phone
- (818) 666-0602
Facilities with the same owner 4
Practitioners 16
-
John Badlissi, MD
-
Michael Badlissi, M.D.
-
Megan Calloway, RN
-
Roussel Clement, MD
-
Frances Ebo Anagor, M.D
-
Syed H Haider, M.D.
-
Nicholas Latuso, M.B.B.S.
-
Gary Roy Mennie, M.D.
-
Ahmed Sharaf, MD
-
Kristen Nicole Voivedich, MSN, RN
Affiliated clinicians 82
-
Nabeel Abdullah, MD
-
Dia Abochamh, MD
-
Agnes Asamah, FNP-C
-
John Badlissi, MD
-
Michael Badlissi, M.D.
-
Christopher A. Bell, D.O.
-
Melanie K Bell, P.A.
-
Zagum A Bhatti, M.D.
-
Nidal I Buheis, M.D.
-
Aricia M Byrd, MD
-
Megan Calloway, RN
-
Matthew Carter, APRN
-
Roussel Clement, MD
-
Richard D Dexter, DO
-
Dale Clauder Dunn, M.D.
-
Frances Ebo Anagor, M.D
Medicare Care Compare: Hospital
- Listed as
- The Medical Center of Southeast Texas
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 450518
- Legal name
- HSA PORT ARTHUR, LLC
- Doing business as
- MEDICAL CENTER OF SOUTH EAST TEXAS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- May 29, 1969
- Last certification
- May 5, 2022
- Beds
- 216 (174 certified)
- Ownership / control type
- Physician ownership
- Most recent change of ownership
- Oct 30, 2024 (8 total)
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Healthcare Systems of America -Texas LLC |
5% Or Greater Direct Ownership Interest | Oct 30, 2024 | 100% |
| Healthcare Systems of America |
5% Or Greater Indirect Ownership Interest | Oct 30, 2024 | |
| Aimee Gill |
Operational/Managerial Control |
Oct 30, 2024 | |
| Mike M Sarian |
5% Or Greater Indirect Ownership Interest |
Oct 30, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250205004169 | TX | Part a Provider - Hospital | 0648700658 | Practice locations: Port Arthur, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Mailing address
505 N Brand Blvd Ste 1200
Glendale, CA 91203-3328
Other providers in Port Arthur, TX
- Tung Van Hoang
- Cheryl Lynn Hobbs
- Della Hokett
- Kimberly Suzanne Holt
- Hong Catherine Trinh Medica Group LLP
- Hsa Port Arthur, LLC
- Joli' Marie Huckaby
- Eustacia O Hudson-Wagner
- Hina Sikandar Hussain
- Ernest Clayton Hymel
All providers in Port Arthur, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.