Organization Active NPI

Pristine Healthcare LLC

  • General Acute Care Hospital
  • Pasadena, TX
National Provider Identifier
1356615595
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PRISTINE HEALTHCARE LLC
Practice address
1004 Seymour St
Pasadena, TX 77506-2637
Phone
(832) 581-3275
Fax
(832) 623-6950
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Mr. Robert Scott Poston, RN, BSN
Title
Ceo
Phone
(281) 487-7738

Specialties & licenses 1

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

Addresses

Primary practice location

1004 Seymour St
Pasadena, TX 77506-2637

Mailing address

2121 Williams Trace Blvd
Ste C
Sugar Land, TX 77478-4526
Phone (281) 634-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 670084

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
PRISTINE HOSPITAL OF PASADENA
Certification status
Terminated Voluntary: other reason for withdrawal, Sep 13, 2013
Provider type (POS)
Hospital – Short-term
Participating since
Dec 11, 2012
Last certification
Jun 4, 2013
Beds
32
Ownership / control type
Physician ownership
Facility address
1004 Seymour Street
Pasadena, TX 77506

National Provider Directory

National Provider Directory

Locations

9009 Boone Rd
Houston, TX 77099
Phone (281) 530-0000

2121 Williams Trace Blvd
Ste C
Sugar Land, TX 77478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1356615595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILLIAMS TRACE BLVD",
            "address_2": "STE C",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784526",
            "telephone_number": "281-634-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SEYMOUR ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775062637",
            "telephone_number": "832-581-3275",
            "fax_number": "832-623-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-487-7738",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.