Active NPI
Henderson Hospital
- Emergency Care Clinic/Center
- Henderson, NV
National Provider Identifier
1285490292
On this page
- Key facts
- Authorized official
- Parent organization (reported in NPPES)1
- Other NPIs on the same Medicare enrollment2
- Affiliated clinicians429
- Care Compare: Hospital
- Laboratory certificates & supplier records
- Medicare participation
- Hospital certification: CCN 290057
- All disclosed owners & managing parties14
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Henderson, NV
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- HENDERSON HOSPITAL
- Practice address
- 865 E Lake Mead Pkwy
Henderson, NV 89015-5501 - Phone
- (702) 369-7671
- NPI assigned
- Feb 27, 2024
- Organization subpart
- Yes
- Parent organization
- HENDERSON HOSPITAL
Authorized official
NPPES NPI Registry- Name
- Steve Filton
- Title
- Exec VP - Cfo
- Phone
- (610) 768-3482
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Affiliated clinicians 429
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Las Vegas, NV
- NPI 1184112526
Hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Henderson, NV
- NPI 1821046400
Hospital
Care Compare: Hospital
Medicare Care Compare- Listed as
- Henderson Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2305854 | ER at Cadence Laboratory, | Accreditation | May 13, 2027 |
| 29D2309506 | ER at Cadence - Point of Care | Certificate of waiver | Aug 14, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160602001126 | NV | Part a Provider - Hospital | 9739479874 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Henderson, NV |
Hospital certification: CCN 290057
Medicare enrollment files- Legal name
- HENDERSON HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Nov 21, 2016
- Last certification
- Jan 28, 2023
- Beds
- 166
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Jan 16, 1998 in DE
- Enrollment address
- 1050 W Galleria Drive
Henderson, NV 89011-1706 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 14
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| George H Brunner | Corporate Officer | Oct 31, 2016 | 100% |
| Samuel H Kaufman | Contracted Managing Employee | Oct 31, 2016 | 100% |
| Corporate Officer | Oct 31, 2016 | 100% | |
| Edward Sim | Corporate Officer | Dec 5, 2022 | 100% |
| Corporate Director | Dec 5, 2022 | 33.3% | |
| Operational/Managerial Control | Dec 5, 2022 | 100% | |
| Katharine M Lyver | Corporate Officer | Jan 1, 2024 | 100% |
| Matthew D Klein | Corporate Officer | Oct 31, 2016 | 100% |
| Corporate Director | Oct 31, 2016 | 33.3% | |
| Kyle D Johnson | Contracted Managing Employee | Jan 15, 2024 | |
| Corporate Officer | Jan 15, 2024 | ||
| Steve Filton | Corporate Officer | Oct 31, 2016 | 100% |
| Corporate Director | Oct 31, 2016 | 33.3% | |
| Operational/Managerial Control | Oct 31, 2016 | 100% | |
| Cheryl K Ramagano | Corporate Officer | Oct 31, 2016 | 100% |
| Universal Health Services Inc | 5% Or Greater Indirect Ownership Interest | Oct 31, 2016 | |
| James M Coleman | Contracted Managing Employee | Oct 31, 2016 | 50% |
| Valley Hospital Medical Center Inc | 5% Or Greater Direct Ownership Interest | Oct 31, 2016 | 100% |
| Uhs of Delaware Inc | Operational/Managerial Control | Oct 31, 2016 | 100% |
| Uhs Holding Company, Inc. | 5% Or Greater Indirect Ownership Interest | Oct 31, 2016 | |
| Alan B Miller | 5% Or Greater Indirect Ownership Interest | Mar 18, 2024 | 87.4% |
National Provider Directory
National Provider Directory- Tax ID family
- Henderson Hospital
- Part of
- Henderson Hospital
Corporate family (same tax ID) 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- Emergency Care Clinic/Center
- Henderson, NV
- NPI 1376198028
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1578381711
Locations
825 N Gibson Rd
Ste 111
Henderson, NV 89011
Phone (702) 963-7999
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
865 E Lake Mead Pkwy
Henderson, NV 89015-5501
Mailing address
2700 Fire Mesa St
Las Vegas, NV 89128-9005
Phone (702) 369-7671
Other names 1
NPPES NPI Registry- ER at Cadence
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 29, 2024.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709164800000",
"number": "1285490292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 FIRE MESA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289005",
"telephone_number": "702-369-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 E LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890155501",
"telephone_number": "702-369-7671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSON HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HENDERSON HOSPITAL",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A",
"authorized_official_last_name": "FILTON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "EXEC VP - CFO",
"authorized_official_telephone_number": "610-768-3482"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMD R",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ER at Cadence",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.