NPIMap

Organization Active NPI

Triumph Hospital of East Houston, LP

Doing business as Kindred Hospital Clear Lake

  • Long Term Care Hospital
  • Webster, TX
National Provider Identifier
1609876309
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
007204 Issued in TX
Legal business name
TRIUMPH HOSPITAL OF EAST HOUSTON, LP
Doing business as
Kindred Hospital Clear Lake
Practice address
350 Blossom St
Webster, TX 77598-4206
Phone
(281) 316-7800
Fax
(281) 316-7828
NPI assigned
Jul 26, 2005
Reactivated
Dec 2, 2016
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 007204 TX Primary

Addresses

Primary practice location

350 Blossom St
Webster, TX 77598-4206

Mailing address

350 Blossom St
Webster, TX 77598-4206
Phone (281) 316-7800

Other identifiers 2

IdentifierTypeStateIssuer
149047601MedicaidTX
HH1006OtherTXBLUE CROSS

Other names 1

  • Kindred Hospital Clear Lake Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041228000275 TX Part A Provider - Hospital 7113985953 Practice locations: Webster, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609876309. Details of each certification follow.

Hospital certification: CCN 452075

Legal name
TRIUMPH HOSPITAL OF EAST HOUSTON LP
Doing business as
KINDRED HOSPITAL CLEAR LAKE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 2000
Last certification
Jun 12, 2024
Beds
147
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Enrollment address
350 Blossom St
Webster, TX 77598-4206
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital Clear LakeCCN 452075 · All quality measures
Ownership
For profit
Certified
Sep 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Beds
147

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
45D1038656Kindred Hospital Clear Lake350 Blossom Street, Webster, TX 77598AccreditationJan 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Triumph Hospital of E Houston LP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1700 James Bowie Dr
Fl Third
Baytown, TX 77520
Phone (281) 420-7800

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, Chain home office 5% Or Greater Indirect Ownership Interest Nov 14, 2014 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 24, 2014 100%
Triumph Healthcare Holdings LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2006 100%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Triumph Healthcare Third Holdings LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2006 100%
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
New Triumph Healthcare, LLP Organization, Louisville, KY Limited Partnership Interest Oct 20, 2004 97.99%
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Rehab Hospital Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Jun 15, 2005 100%
Deanna Schiavone Individual Corporate OfficerPresident and Cfo Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVice President Dec 14, 2004
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Mar 17, 2025
Angel Gradney Individual Operational/Managerial ControlHospital Ceo (Administrator) Aug 25, 2018
Triumph Healthcare Second Holdings LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Aug 29, 2005 100%

Facilities with the same owner 97

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

  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Rehabilitation Hospital Unit
    • Round Rock, TX
    • NPI 1396326948

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Long Term Care Hospital
    • Round Rock, TX
    • NPI 1912395203

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital Conroe, LLC

    dba Cornerstone Specialty Hospitals Conroe

    • Long Term Care Hospital
    • Conroe, TX
    • NPI 1073901476

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital McAllen, LLC

    dba Solara Specialty Hospitals McAllen

    • Long Term Care Hospital
    • McAllen, TX
    • NPI 1760870166

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central

    • Long Term Care Hospital
    • Dallas, TX
    • NPI 1356559991

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Kindred Rehab Hospital Holdings LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Dallas, TX
    • NPI 1821741539

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Kindred Rehab Hospital Holdings LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Kindred Hospitals Limited Partnership

    dba Kindred Hospital Houston Medical Center (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Houston, TX
    • NPI 1528691755

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Kindred Hospitals Limited Partnership

    dba Kindred Hospital - San Antonio

    • Long Term Care Hospital
    • San Antonio, TX
    • NPI 1558430520

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Kindred Hospitals Limited Partnership

    dba Kindred Hospital Houston Medical Center

    • Long Term Care Hospital
    • Houston, TX
    • NPI 1942379912

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Development 68, LLC

    dba Kindred Hospital - San Antonio Central

    • Long Term Care Hospital
    • San Antonio, TX
    • NPI 1558721365

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Mexia Principal Healthcare Limited Partnership

    dba Parkview Regional Hospital

    • General Acute Care Hospital
    • Mexia, TX
    • NPI 1497708929

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Mexia Principal Healthcare Limited Partnership

    dba Parkview Regional Hospital - swing bed unit

    • Medicare Defined Swing Bed Hospital Unit
    • Mexia, TX
    • NPI 1912069030

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
View all 97

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1609876309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984206",
            "telephone_number": "281-316-7800",
            "fax_number": "281-316-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984206",
            "telephone_number": "281-316-7800",
            "fax_number": "281-316-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH HOSPITAL OF EAST HOUSTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "deactivation_date": "2016-11-22",
        "reactivation_date": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "007204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149047601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH1006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Clear Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Clear Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.