Organization Active NPI

CHG Hospital Medical Center, LLC

  • Long Term Care Hospital
  • Houston, TX
National Provider Identifier
1659761815
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CHG HOSPITAL MEDICAL CENTER, LLC
Practice address
2001 Hermann Dr
Houston, TX 77004-7643
Phone
(832) 649-6200
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Mr. Kurt J. Schultz
Title
Cfo
Phone
(469) 621-6700

Specialties & licenses 1

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

Addresses

Primary practice location

2001 Hermann Dr
Houston, TX 77004-7643

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
357053301MedicaidTX

Other names 2

  • Cornerstone Hospital Medical Center Doing business as
  • Cornerstone Specialty Hospitals Medical Center Doing business as

Medicare participation

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

Hospital certification: CCN 452055

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
CORNERSTONE SPECIALTY HOSPITALS MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Feb 1, 2020
Provider type (POS)
Hospital – Long-term
Participating since
Mar 1, 1997
Last certification
Aug 23, 2017
Beds
35
Ownership / control type
Private (for profit)
Most recent change of ownership
Feb 1, 2015 (3 total)
Facility address
2001 Hermann Drive
Houston, TX 77004

National Provider Directory

National Provider Directory

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": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1659761815",
    "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": "2001 HERMANN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047643",
            "telephone_number": "832-649-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHG HOSPITAL MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-621-6700",
        "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": "357053301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Specialty Hospitals Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.