NPIMap

Organization Active NPI

St. Lukes Hospital at the Vintage

  • General Acute Care Hospital
  • Houston, TX
National Provider Identifier
1710314141
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100074 Issued in TX
Legal business name
ST. LUKES HOSPITAL AT THE VINTAGE
Practice address
20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone
(832) 534-5000
NPI assigned
Sep 30, 2013
Last updated
Apr 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LUKES HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Mr. Norman F Stephens
Title
Chief Executive Officer
Phone
(832) 534-5910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100074 TX Primary

Addresses

Primary practice location

20171 Chasewood Park Dr
Houston, TX 77070-1437

Mailing address

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000

Other identifiers 1

IdentifierTypeStateIssuer
3391534-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140321000465 TX Part A Provider - Hospital 3870619927 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710314141. Details of each certification follow.

Hospital certification: CCN 670075

Legal name
ST. LUKE'S HOSPITAL AT THE VINTAGE
Doing business as
ST LUKE'S HOSPITAL AT THE VINTAGE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 14, 2010
Last certification
Oct 24, 2019
Beds
102 (24 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2014 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 23, 2013 in TX
Enrollment address
20171 Chasewood Park Dr
Houston, TX 77070-1437
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
St Luke's Hospital at the VintageCCN 670075 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
CHI St Luke's Health Baylor St Luke's Medical Center

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Doug Lawson Individual Corporate DirectorBoard Member Jul 1, 2021
W-2 Managing EmployeeHealth System Ceo Mar 19, 2018
OtherHealth System Ceo Mar 19, 2018
Michael Steines Individual Corporate DirectorBoard Member Mar 26, 2024
Gary Whitlock Individual Corporate DirectorBoard Member Jul 1, 2021
St. Lukes Health System Corporation Organization, Houston, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2021 100%
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2014 100%
Robert Upchurch Individual Corporate DirectorDirector Jul 1, 2021
Frank Ashley Individual Corporate DirectorBoard Member Jul 1, 2021
Brooks Bass Individual Corporate DirectorBoard Member Jul 1, 2021
Brad Beers Individual Corporate DirectorBoard Member Jul 1, 2021
Mario J Garner Individual Corporate OfficerPresident St Luke Vintage Dec 17, 2018
Operational/Managerial ControlPresident St Luke Vintage Dec 17, 2018
Jane Ainsworth Individual Corporate DirectorBoard Member Jul 1, 2021
Indira S Anupindi Individual Corporate DirectorBoard Member Jul 1, 2021
David C. Strickler Individual Corporate OfficerChief Financial Officer Dec 1, 2018
Operational/Managerial ControlChief Financial Officer Dec 1, 2018
Demetress L Harrell Individual Corporate DirectorBoard Member Jul 1, 2021
St Lukes Health Clinical Operations Organization, Houston, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 218

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

View all 218

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1710314141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20171 CHASEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701437",
            "telephone_number": "832-534-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20171 CHASEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701437",
            "telephone_number": "832-534-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES HOSPITAL AT THE VINTAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES HEALTH SYSTEM",
        "enumeration_date": "2013-09-30",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-534-5910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "100074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3391534-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.