Organization Active NPI

THC - Houston, LLC

Doing business as Kindred Hospital (Bay Area)

  • Long Term Care Hospital
  • Pasadena, TX
National Provider Identifier
1700955796
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
000801 Issued in TX
Legal business name
THC - HOUSTON, LLC
Doing business as
Kindred Hospital (Bay Area)
Practice address
4801 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone
(281) 991-5463
Fax
(281) 991-1655
NPI assigned
Nov 6, 2006
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mr. Terrance K. Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 000801 TX Primary

Addresses

Primary practice location

4801 E Sam Houston Pkwy S
Pasadena, TX 77505

Mailing address

4801 E Sam Houston Pkwy S
Pasadena, TX 77505-3955
Phone (281) 991-5463

Other identifiers 2

IdentifierTypeStateIssuer
021017101MedicaidTX
HH0932OtherTXBLUE CROSS

Other names 1

  • Kindred Hospital (Bay Area) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030520000074 TX Part A Provider - Hospital 9133039670 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700955796. Details of each certification follow.

Hospital certification: CCN 452039

Legal name
THC - HOUSTON, LLC
Doing business as
KINDRED HOSPITAL (HOUSTON NW)
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jun 1, 1994
Last certification
Oct 13, 2023
Beds
158 (76 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
11297 Fallbrook Dr
Houston, TX 77065-4230
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital Houston NWCCN 452039 · All quality measures
Ownership
For profit
Certified
Jun 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Beds
158

National Provider Directory

National Provider Directory

Locations

680 S 4th St
#3
Louisville, KY 40202

Ownership & related parties

All disclosed owners & managing parties 14

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 For-profit 5% Or Greater Direct Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Deanna Schiavone Individual Corporate OfficerChief Financial Officer 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 Officer Aug 23, 2014
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 Oct 1, 2025
Tracy Kohler Individual Operational/Managerial ControlHospital Ceo (Administrator) Aug 26, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1700955796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E SAM HOUSTON PKWY S",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053955",
            "telephone_number": "281-991-5463",
            "fax_number": "281-991-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E SAM HOUSTON PKWY S",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "281-991-5463",
            "fax_number": "281-991-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC - HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "000801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021017101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0932",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital (Bay Area)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital (Bay Area)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.