NPIMap

Organization Active NPI

Shriners Hospitals for Children

  • Children's Hospital
  • Greenville, SC
National Provider Identifier
1326187097
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
HTL-0069 Issued in SC
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Practice address
950 W Faris Rd
Greenville, SC 29605-4277
Phone
(864) 271-3444
Fax
(864) 271-4471
NPI assigned
Feb 6, 2007
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Mr. Randall R. Romberger
Title
Administrator
Phone
(864) 271-3444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X
Children's Hospital 282NC2000X HTL-0069 SC Primary
Special Hospital 284300000X

Addresses

Primary practice location

950 W Faris Rd
Greenville, SC 29605-4277

Mailing address

PO Box 8500
Lockbox #7642
Philadelphia, PA 19178-7642
Phone (813) 281-8478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000049 SC Part A Provider - Hospital 9133031933 Practice locations: Greenville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326187097. Details of each certification follow.

Hospital certification: CCN 423300

Legal name
SHRINERS HOSPITALS FOR CHILDREN
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Mar 25, 2011
Last certification
Dec 18, 2019
Beds
50
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1925 in CO
Enrollment address
950 West Faris Road
Greenville, SC 29605-4255
Other Hospital Practice Location
Hospital subgroups
Children’s

Care Compare: Hospital

Medicare Care Compare
Listed as
Shriners Hospitals for ChildrenCCN 423300 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Shriners Hospitals Children49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
William B. Rasner Individual Corporate DirectorTrustee Jul 7, 2022
Jim L Cain Individual Corporate Director Jul 15, 2010
Matthew Sturlaugson Individual Corporate DirectorSecretary Jul 4, 2024
Lawrence J Leib Individual Corporate Director1St Vice President Jul 13, 2017
Dale R. Vrsalovich Individual Corporate Director Jul 4, 2024
Martin L. Bartlett Individual Corporate OfficerAssistant Secretary Jul 3, 2025
John P McCabe Individual W-2 Managing Employee Jul 15, 2010
Ronald Capps Individual Corporate DirectorTrustee Jul 4, 2024
Phillip L Grady Individual W-2 Managing EmployeeVP Hospital Operations Sep 1, 2019
Dennis W. Hewatt Individual Corporate DirectorTrustee Jul 3, 2025
David C. Hamm Individual Corporate Director Jul 6, 2023
Hope Cummings Individual W-2 Managing EmployeeDirector of Patient Care Services Jan 21, 2019
Scott Allen Schuster Individual Corporate OfficerTreasurer Jul 3, 2025
Timothy L. Ludwig Individual Corporate DirectorTrustee Jul 6, 2023
Ricky Holloway Individual Corporate Director Jul 3, 2025
Mark E Hartz Individual Corporate Director2ND Vice President Jul 19, 2018
Leslie D Stewart Individual Corporate DirectorPresident & Chairman BD of Trustees Jul 12, 2020
Timothy D Forbis Individual Corporate Director Jul 8, 2021
Brad T Koehn Individual Corporate DirectorChairman, Board of Directors Jul 13, 2017
William Munley Individual W-2 Managing EmployeeAdministrator Jan 15, 2018
Kenneth G Craven Individual Corporate DirectorTrustee Jul 10, 2014
Ronald Devoll Individual Corporate Director Jul 7, 2022
John Conti Individual W-2 Managing EmployeeDirector of Financial Services Jan 1, 2013
Shriners Hospitals for Children Organization, Greenville, SC 5% Or Greater Direct Ownership Interest Aug 20, 2013 100%
Operational/Managerial Control Jul 15, 2010
Richard G Burke Individual Corporate DirectorDirector Jul 7, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shriners Hospitals for ChildrenPhiladelphia, PA, CCN 393309 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 24, 1966
Jun 24, 1966
Shriners Hospitals for ChildrenPortland, OR, CCN 383300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 15, 1966
Jan 15, 2015
Shriners Hospitals for ChildrenGalveston, TX, CCN 453311 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 20, 1966
Mar 20, 1966
Shriners Hospitals for ChildrenHonolulu, HI, CCN 123301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2013
Oct 1, 2013
Shriners Hospitals for ChildrenSacramento, CA, CCN 053311 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 15, 1997
Apr 15, 1997
Shriners Children's OhioDayton, OH, CCN 363308 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 19, 1968
Feb 19, 1968
Shriners Hospitals for ChildrenChicago, IL, CCN 143302 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966
Shriners Hospitals for ChildrenSaint Louis, MO, CCN 263304 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1326187097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX #7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054277",
            "telephone_number": "864-271-3444",
            "fax_number": "864-271-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "ROMBERGER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-271-3444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "SC",
            "license": "HTL-0069",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.