NPIMap

Organization Active NPI

23330 Emergency Center, LLC

Doing business as Elite Hospital Kingwood

  • General Acute Care Hospital
  • Kingwood, TX
National Provider Identifier
1346753118
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
23330 EMERGENCY CENTER, LLC
Doing business as
Elite Hospital Kingwood
Kingwood Emergency Center
Kingwood Emergency Hospital
Practice address
23330 Highway 59 N
Kingwood, TX 77339-4471
Phone
(281) 236-0563
NPI assigned
Nov 14, 2017
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Jeremy Brynes
Title
Chief Executive Officer
Phone
(832) 777-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X TX Primary

Addresses

Primary practice location

23330 Highway 59 N
Kingwood, TX 77339-4471

Mailing address

23330 Highway 59 N
Kingwood, TX 77339-4471
Phone (832) 777-6165

Other names 3

  • Elite Hospital Kingwood Doing business as
  • Kingwood Emergency Center Doing business as
  • Kingwood Emergency Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428000438 TX Part A Provider - Hospital 7315377629 Practice locations: Kingwood, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346753118. Details of each certification follow.

Hospital certification: CCN 670285

Legal name
23330 EMERGENCY CENTER, LLC
Doing business as
ELITE HOSPITAL KINGWOOD
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 16, 2020
Last certification
Oct 20, 2023
Beds
6
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
23330 Highway 59 N
Kingwood, TX 77339-4471
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Elite Hospital KingwoodCCN 670285 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Facility Enterprises-Kingwood Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Nov 8, 2017 17%
02 Holdings, LLC Organization, Stafford, TX LLC 5% Or Greater Direct Ownership Interest Nov 8, 2017 18%
Shawcroft Holdings LLC Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Oct 31, 2017 17%
Radera, LLC Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Nov 8, 2017 40%
Healthcare Development and Consulting LLC Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Oct 31, 2017 6%
Jeremy Brynes Individual W-2 Managing EmployeeCeo Nov 8, 2018
Operational/Managerial ControlCeo Nov 8, 2018
Other Mar 31, 2021 2%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1346753118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "832-777-6165",
            "fax_number": "281-503-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-236-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "23330 EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BRYNES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-777-6165"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Hospital Kingwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingwood Emergency Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingwood Emergency Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingwood Emergency Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.