Organization Active NPI

CHG Hospital Houston, LLC

  • Long Term Care Hospital
  • Webster, TX
National Provider Identifier
1457730426
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CHG HOSPITAL HOUSTON, LLC
Practice address
709 W Medical Center Blvd
Webster, TX 77598-4005
Phone
(281) 332-3322
NPI assigned
May 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Brad Eugene Hollinger
Title
President
Phone
(717) 591-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

709 W Medical Center Blvd
Webster, TX 77598-4005

Mailing address

2200 Ross Ave Ste 5400
Dallas, TX 75201-7918
Phone (469) 621-6700

Other identifiers 1

IdentifierTypeStateIssuer
358588701MedicaidTX

Other names 1

  • Vibra Hospital of Clear Lake Doing business as

Medicare participation

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

Hospital certification: CCN 452058

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
SUMMIT HOSPITAL OF SOUTHEAST TEXAS INC
Certification status
Terminated Voluntary: merger or closure, Jul 14, 1998
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 1998
Last certification
Jul 1, 1998
Beds
24
Ownership / control type
Private (for profit)
Facility address
709 Medical Center Blvd
Webster, TX 77598

Hospital certification: CCN 453077

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
SUMMIT HOSPITAL OF SOUTHEAST TEXAS INC
Certification status
Terminated Other: provider status change, Jun 30, 1998
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 17, 1997
Last certification
Oct 17, 1997
Beds
24
Ownership / control type
Private (for profit)
Facility address
709 Medical Center Blvd
Webster, TX 77598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1457730426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROSS AVE STE 5400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017918",
            "telephone_number": "469-621-6700",
            "fax_number": "469-621-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984005",
            "telephone_number": "281-332-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHG HOSPITAL HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358588701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Hospital of Clear Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.