NPIMap

Organization Active NPI

CR Emergency Room LLC

Doing business as Baylor Scott & White Emergency Hospital Aubrey

  • General Acute Care Hospital
  • Aubrey, TX
National Provider Identifier
1407010622
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
008732 Issued in TX
Legal business name
CR EMERGENCY ROOM LLC
Doing business as
Baylor Scott & White Emergency Hospital Aubrey
Practice address
26791 Highway 380
Aubrey, TX 76227-7654
Phone
(972) 347-2525
Fax
(972) 347-6725
NPI assigned
Jul 16, 2008
Last updated
Dec 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Mrs. Tina Johnson
Title
Provider Enrollment Coordinator
Phone
(713) 929-2076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
General Acute Care Hospital 282N00000X 008732 TX Primary

Addresses

Primary practice location

26791 Highway 380
Aubrey, TX 76227-7654

Mailing address

8686 New Trails Dr
Suite 100
The Woodlands, TX 77381-1176
Phone (281) 292-0769

Other identifiers 1

IdentifierTypeStateIssuer
303478701MedicaidTX

Other names 1

  • Baylor Scott & White Emergency Hospital Aubrey Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000120 TX Part A Provider - Hospital 4284702499 4 other NPIs on this enrollment
Practice locations: Colleyville, TX; Aubrey, TX; Rockwall, TX; Keller, TX; Murphy, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407010622. Details of each certification follow.

Hospital certification: CCN 670062

Legal name
CR EMERGENCY ROOM LLC
Doing business as
BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 17, 2009
Last certification
Jun 7, 2023
Beds
40 (32 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 10, 2010 in TX
Enrollment address
26791 US Highway 380 E
Aubrey, TX 76227-7654
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Scott & White Emergency HospitalCCN 670062 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1091305CR Emergency Room, LLC26791 US Highway 380 East Suite 100, Aubrey, TX 76227AccreditationSep 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
CR Emergency Room LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Baylor Health Care System Organization, Dallas, TX Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2012 51%
Vanessa Smith Individual Corporate OfficerPresident Nov 9, 2022
W-2 Managing EmployeePresident Nov 9, 2022
Emerus Group Holdings LP Organization, New York, NY Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2015 49%
Ebd JV, LLP Organization, The Woodlands, TX 5% Or Greater Direct Ownership Interest Jul 1, 2012 100%
John D Middlebrook Individual General Partnership Interest Aug 11, 2009
Corporate Director Aug 11, 2009
Emerus Intermediate Holdings Inc Organization, New York, NY Corporation, Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2015 49%
Toby R Hamilton Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2008 5.92%
General Partnership Interest Aug 1, 2008
Corporate OfficerPresident Aug 1, 2008
Jaba Interest LLC Organization, The Woodlands, TX LLC 5% Or Greater Indirect Ownership Interest Oct 16, 2014 5.17%
Thanh Tran Individual Corporate OfficerSecretary Nov 9, 2022
W-2 Managing EmployeeSecretary Nov 9, 2022
Emerus Management Company, LLC Organization, The Woodlands, TX LLC, For-profit 5% Or Greater Security Interest Jan 12, 2011
Operational/Managerial Control Jul 1, 2012 100%
Emerus Investment Company II LLC Organization, The Woodlands, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2012 49%
Emerus Holdings, Inc. Organization, The Woodlands, TX For-profit 5% Or Greater Indirect Ownership Interest Jan 14, 2011 49%
Welsh Carson Anderson & Stowe XII, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Sep 1, 2015 13.37%
Baylor University Medical Center Organization, Dallas, TX Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2012 51%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 85

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

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1407010622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811176",
            "telephone_number": "281-292-0769",
            "fax_number": "281-292-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26791 HIGHWAY 380",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277654",
            "telephone_number": "972-347-2525",
            "fax_number": "972-347-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR EMERGENCY ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "713-929-2076",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303478701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Emergency Hospital Aubrey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aubrey, TX

Sources for this page

Verify at the official NPI Registry.