NPIMap

Organization Active NPI

Henderson Hospital

Doing business as ER at Cadence

  • Emergency Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1285490292
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
HENDERSON HOSPITAL
Doing business as
ER at Cadence
Practice address
865 E Lake Mead Pkwy
Henderson, NV 89015-5501
Phone
(702) 369-7671
NPI assigned
Feb 27, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HENDERSON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Steve Filton
Title
Exec VP - Cfo
Phone
(610) 768-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary 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

  • ER at Cadence Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285490292. Details of each certification follow.

Hospital certification: CCN 290057

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
LLCProprietary
Incorporated
Jan 16, 1998 in DE
Enrollment address
1050 W Galleria Drive
Henderson, NV 89011-1706
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Henderson HospitalCCN 290057 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2305854ER at Cadence Laboratory,865 E Lake Mead Parkway, Henderson, NV 89015AccreditationMay 13, 2027
29D2309506ER at Cadence - Point of Care865 E Lake Mead Pkwy, Henderson, NV 89015Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Henderson Hospital4 organizations share this tax ID, including this one
Part of
Henderson Hospital

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

825 N Gibson Rd
Ste 111
Henderson, NV 89011
Phone (702) 963-7999

2700 Fire Mesa St
Las Vegas, NV 89128

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
George H Brunner Individual Corporate OfficerSecretary Oct 31, 2016 100%
Samuel H Kaufman Individual Contracted Managing EmployeeCeo Oct 31, 2016 100%
Corporate OfficerCeo Oct 31, 2016 100%
Edward Sim Individual Corporate OfficerPresident Acute Care Division Dec 5, 2022 100%
Corporate DirectorPresident Acute Care Division Dec 5, 2022 33.3%
Operational/Managerial ControlPresident Acute Care Division Dec 5, 2022 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerVice President Oct 31, 2016 100%
Corporate DirectorVice President Oct 31, 2016 33.3%
Kyle D Johnson Individual Contracted Managing EmployeeCfo Jan 15, 2024
Corporate OfficerCfo Jan 15, 2024
Steve Filton Individual Corporate OfficerVice President Borad Member Oct 31, 2016 100%
Corporate DirectorVice President Board Member Oct 31, 2016 33.3%
Operational/Managerial ControlVoce President Board Member Oct 31, 2016 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Oct 31, 2016 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Oct 31, 2016
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Oct 31, 2016 50%
Valley Hospital Medical Center Inc Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Oct 31, 2016 100%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation Operational/Managerial Control Oct 31, 2016 100%
Uhs Holding Company, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Oct 31, 2016
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

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.

Practitioners & affiliated clinicians

Affiliated clinicians 429

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

View all 429

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.