Cambridge Hospital LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

100151 Issued in TX

Legal business name

CAMBRIDGE HOSPITAL LLC

Practice address

7601 Fannin St
Houston, TX 77054-1905

Phone

(713) 790-1155

Fax

(713) 790-0618

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Sharma, M.D.

Title

Chief Executive Officer

Phone

(713) 790-1155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 454120

Legal name

CAMBRIDGE HOSPITAL LLC

Certification status

Terminated Voluntary: merger or closure, Jul 7, 2015

Provider type (POS)

Hospital – Psychiatric

Participating since

Nov 26, 2012

Last certification

Nov 26, 2012

Beds

148

Ownership / control type

Private (for profit)

Facility address

7601 Fannin
Houston, TX 77054

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1295097624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 FANNIN ST",
            "address_2": "SUITE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541913",
            "telephone_number": "713-790-1155",
            "fax_number": "713-790-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541905",
            "telephone_number": "713-790-1155",
            "fax_number": "713-790-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-790-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "100151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.