Providence Hospital of North Houston LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PROVIDENCE HOSPITAL OF NORTH HOUSTON LLC

Practice address

16750 Red Oak Drive
Houston, TX 77090

Phone

(281) 453-7110

Fax

(281) 440-2020

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Minh C Nguyen

Title

Owner

Phone

(281) 453-7916

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670119

Legal name

PROVIDENCE HOSPITAL OF NORTH HOUSTON LLC

Certification status

Terminated Voluntary: merger or closure, Aug 31, 2019

Provider type (POS)

Hospital – Short-term

Participating since

Dec 14, 2016

Last certification

Dec 14, 2016

Beds

16

Ownership / control type

Private (for profit)

Facility address

16750 Red Oak Drive
Houston, TX 77090

Locations

Practitioners 1

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

• Huong T Le, MD

  • Family Medicine Physician
  • Spring, TX
  • NPI 1043250392
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1467836841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037B FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883114",
            "telephone_number": "281-453-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 RED OAK DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-453-7110",
            "fax_number": "281-440-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOSPITAL OF NORTH HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-453-7916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370663201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Everly Haven Home Healthcare, LLC
• Providence Family Practice PA
• Providence Healthcare of TX (PHT Heal)
• Providence Home Dialysis LLC
• Providence Hospice Care Inc
• Providence Pharmacy & Medical Supplies, Inc. (Providence Pharmacy)
• Providence Physician Associates (Brazos Urgent Care)
• Providence RX Pharmacy LLC
• Providence Total Care LLC
• Providence Total Care LLC

• General Acute Care Hospital in Houston, TX
• Providers in Houston, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.