NPIMap

Organization Active NPI

Houston Behavioral Healthcare Hospital, LLC

  • Psychiatric Hospital
  • Houston, TX
National Provider Identifier
1689098790
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
0000000 Issued in TX
Legal business name
HOUSTON BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Practice address
2801 Gessner Rd
Houston, TX 77080-2503
Phone
(248) 905-5091
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Lucinda Debruce
Title
Ceo
Phone
(479) 409-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 0000000 TX Primary

Addresses

Primary practice location

2801 Gessner Rd
Houston, TX 77080-2503

Mailing address

2801 Gessner Rd
Houston, TX 77080-2503

Other identifiers 1

IdentifierTypeStateIssuer
3489908-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140820000242 TX Part A Provider - Hospital 9234357047 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689098790. Details of each certification follow.

Hospital certification: CCN 454135

Legal name
HOUSTON BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Doing business as
AURORA BEHAVIORAL HEALTHCARE-HOUSTON, LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 25, 2015
Last certification
Mar 23, 2024
Beds
163
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 23, 2012 in TX
Enrollment address
2801 Gessner Road
Houston, TX 77080-2503
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Houston Behavioral Healthcare Hospital LLCCCN 454135 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
45D2082297Houston Behavioral Healthcare Hospital2801 Gessner Road, Houston, TX 77080Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Signature Healthcare Services, LLC Organization, Troy, MI LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Aug 21, 2012 100%
Heidi Philippe Individual Corporate OfficerCfo Jan 17, 2021 50%
W-2 Managing EmployeeCfo Jan 17, 2021 50%
Operational/Managerial ControlCfo Jan 17, 2021 50%
Soon Kim Individual 5% Or Greater Indirect Ownership Interest Aug 21, 2012 100%
Operational/Managerial ControlManaging Member Aug 21, 2012 100%
Adrian Flores Individual Corporate OfficerCeo Jan 17, 2022 100%
Operational/Managerial ControlCeo Jan 17, 2022 100%

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1689098790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802503",
            "telephone_number": "248-905-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "DEBRUCE",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-409-3553"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3489908-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.