Active NPI
Exceptional Health Care Livingston LLC
- Emergency Care Clinic/Center
- Livingston, TX
National Provider Identifier
1295388411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- EXCEPTIONAL HEALTH CARE LIVINGSTON LLC
- Practice address
- 111 Emergency Dr
Livingston, TX 77351-4808 - Phone
- (469) 341-7800
- NPI assigned
- Jul 17, 2019
- Last updated
- Jul 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saeed S Mahboubi
- Title
- Cfo
- Phone
- (469) 341-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
111 Emergency Dr
Livingston, TX 77351-4808
Mailing address
111 Emergency Dr
Livingston, TX 77351-4808
Phone (469) 341-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295388411. Details of each certification follow.
Hospital certification: CCN 670215
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- EXCEPTIONAL HEALTH CARE LIVINGSTON
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- May 8, 2020
- Last certification
- May 8, 2020
- Beds
- 1
- Ownership / control type
- Private (not for profit)
- Facility address
- 111 Emergency Drive
Livingston, TX 77351
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1295388411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EMERGENCY DR",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773514808",
"telephone_number": "469-341-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EMERGENCY DR",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773514808",
"telephone_number": "469-341-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEPTIONAL HEALTH CARE LIVINGSTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-17",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "MAHBOUBI",
"authorized_official_first_name": "SAEED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "469-341-7800"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
- Vivian Beatrice Ellis, P.T.
- Emergency Care of Livingston-Physicians, PLLC
- Emergency Care of Livingston, LLC
- Emergency Hospitals of Texas - Livingston, PLLC
- Emrd Ventures, PLLC (Precise Urgent Care)
- Exceptional Physicians Group Livingston PLLC
- Eyekhan Eyecare PLLC (Livingston Eyecare)
- Faith Whatley-Torres Licensed Behavior Analyst LLC
- Allison Faith, BCBA,LBA
- Michael Field, B.S. L.A.T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.