Organization Active NPI

Hsa Port Arthur, LLC

  • General Acute Care Hospital
  • Port Arthur, TX
National Provider Identifier
1194548073
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 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
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHCARE SYSTEMS OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Aimee Gill
Title
Deputy General Counsel
Phone
(818) 666-0602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205004169 TX Part A Provider - Hospital 0648700658 Practice locations: Port Arthur, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194548073. Details of each certification follow.

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
LLCProprietary
Enrollment address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
The Medical Center of Southeast TexasCCN 450518 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Healthcare Systems of America -Texas LLC Organization, Glendale, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 30, 2024 100%
Healthcare Systems of America Organization, Glendale, CA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 30, 2024
Aimee Gill Individual Operational/Managerial ControlChief Legal Officer Oct 30, 2024
Mike M Sarian Individual 5% Or Greater Indirect Ownership InterestChairman and Ceo Oct 30, 2024 100%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 16

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 16

Affiliated clinicians 82

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1194548073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD STE 1200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSA PORT ARTHUR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE SYSTEMS OF AMERICA",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "818-666-0602"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.