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Organization Active NPI

Memorial Hermann Health System

Doing business as Memorial Hermann Hospital System Rehabilitation Unit

  • Rehabilitation Hospital Unit
  • Houston, TX
National Provider Identifier
1669414884
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000407 Issued in TX
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Memorial Hermann Hospital System Rehabilitation Unit
Practice address
1635 North Loop W
Houston, TX 77008-1532
Phone
(713) 456-5000
Fax
(713) 338-4158
NPI assigned
Jun 12, 2006
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000407 TX Primary

Addresses

Primary practice location

1635 North Loop W
Houston, TX 77008-1532

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
020834001MedicaidTX

Other names 1

  • Memorial Hermann Hospital System Rehabilitation Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000820 TX Part A Provider - Hospital 1759292683 Practice locations: Houston, TX; Shenandoah, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669414884. Details of each certification follow.

Hospital certification: CCN 45T184

Legal name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
MEMORIAL HERMANN HOSPITAL SYSTEM REHABILITATION UNIT
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1910 in TX
Enrollment address
1635 North Loop W
Houston, TX 77008-1532
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Memorial Hermann HospitalCCN 45T184 · All quality measures
Ownership
Non-profit
Certified
Jun 30, 1996

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann HSP Sy63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

7787 Southwest Fwy
Houston, TX 77074
Phone (713) 456-5000

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Anthony Frank Individual Corporate OfficerChief Accounting Officer and Jan 27, 2014
W-2 Managing EmployeeChief Accounting Officer Jan 27, 2014
Joshua Urban Individual W-2 Managing EmployeeCeo-Memorial Hermann the Woodla Jul 1, 2014
Greg Armstrong Individual Other Jan 1, 2022
Gregory Haralson Individual W-2 Managing EmployeeCeo - MH Southwest Hospital Feb 4, 2017
William J Campbell Individual Corporate DirectorBoard Member Jan 1, 2014
Monica Benton Individual Other Jan 1, 2022
Memorial Hermann Health System Organization, Houston, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013
Operational/Managerial Control Jan 1, 2013 100%
Richard Figueroa Individual Other Jan 1, 2022
John a. Graf Individual Other Jan 1, 2020
Clarence P Cazalot Individual Corporate DirectorBoard Member Jan 1, 2014
Peter R Huntsman Individual Corporate DirectorBoard Member Jan 1, 2016
Susan D. Sarofim Individual Other Jan 1, 2020
Jarvis Hollingsworth Individual Other Jan 1, 2022
Jay F Schneider Individual Other Jan 1, 2020
John Esquivel Individual Other Jan 1, 2022
Gary Petersen Individual Other Jan 1, 2022
Alan Victor Ytterberg Individual Other Jan 1, 2022
Anne Taylor Individual Other Jan 1, 2022
Deborah Coco Gordon Individual Corporate OfficerChief Legal Officer and Secretar Jun 27, 2014
W-2 Managing EmployeeChief Legal Officer Jun 27, 2014
Charmaine Ferguson Individual W-2 Managing EmployeeVP Risk Management & Litigation Aug 1, 2018
Steven Hand Individual W-2 Managing EmployeeSystem Executive Jan 1, 2011
William H Easter Individual Corporate DirectorBoard Member Jan 1, 2013
Edward Adams Individual Other Jan 1, 2022
Roland Garcia Individual Corporate DirectorBoard Member Jan 1, 2014
Christophe C Salcedo Individual Other Jan 1, 2022
Gary J Sheppard Individual Other Jan 1, 2022
Donald M Woo Individual Other Jan 1, 2020
David L Callender Individual Corporate OfficerPresident Sep 1, 2019
W-2 Managing EmployeeChief Executive Officer Sep 1, 2019

Owners & managing parties with NPI records 15

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

View all 15

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hermann Sugar Land HospitalSugar Land, TX, CCN 450848 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Katy HospitalKaty, TX, CCN 450847 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2001
Jul 1, 2001
Memorial Hermann Northeast HospitalHumble, TX, CCN 450684 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2007
Jan 1, 2007
Memorial Hermann Memorial City Medical CenterHouston, TX, CCN 450610 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2010
Jan 1, 2013
Memorial Hermann Texas Medical CenterHouston, TX, CCN 450068 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Texas Medical Center Rehabilitation UnitHouston, TX, CCN 45T068 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Hospital SystemHouston, TX, CCN 450184 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Rehabilitation Hospital KatyKaty, TX, CCN 673038 Hospital 5% Or Greater Indirect Ownership Interest Apr 1, 2009
Tirr Memorial HermannHouston, TX, CCN 453025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Accentcare Home Health of Houston - North, LLCHouston, TX, CCN 457741 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Home Health of Houston - South, LLCSugar Land, TX, CCN 679102 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Hospice & Palliative Care of Houston - South, LLCHouston, TX, CCN 671559 Hospice 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Hospice & Palliative Care of Houston - North, LLCHouston, TX, CCN 671741 Hospice 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023

Owned or controlled facilities with NPI records 26

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 26

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1669414884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081532",
            "telephone_number": "713-456-5000",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020834001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Hospital System Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.