NPIMap

Organization Active NPI

Ethicus Hospital-Grapevine, LP

  • General Acute Care Hospital
  • Grapevine, TX
National Provider Identifier
1699976852
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ETHICUS HOSPITAL-GRAPEVINE, LP
Practice address
4201 William D Tate
Grapevine, TX 76051
Phone
(817) 288-1314
Fax
(817) 288-1499
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. John L Mass
Title
Vice President
Phone
(817) 288-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

4201 William D Tate
Grapevine, TX 76051

Mailing address

4201 William D Tate
Grapevine, TX 76051
Phone (817) 288-1314

Medicare participation

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

Hospital certification: CCN 670042

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
ETHICUS HOSPITAL GRAPEVINE
Certification status
Terminated Voluntary: merger or closure, Sep 1, 2008
Provider type (POS)
Hospital – Short-term
Participating since
Mar 7, 2008
Last certification
Mar 7, 2008
Beds
12
Ownership / control type
Private (not for profit)
Facility address
4201 William D Tate Avenue
Grapevine, TX 76051

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1699976852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WILLIAM D TATE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-288-1314",
            "fax_number": "817-288-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WILLIAM D TATE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-288-1314",
            "fax_number": "817-288-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHICUS HOSPITAL-GRAPEVINE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-288-1314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.