Active NPI
Humble Surgical Hospital, LLC
- Institutional Pharmacy
- Humble, TX
National Provider Identifier
1720522725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 27035
- Legal business name
- HUMBLE SURGICAL HOSPITAL, LLC
- Practice address
- 1475 FM 1960 Bypass Rd E
Humble, TX 77338-3909 - Phone
- (832) 865-0795
- Fax
- (281) 964-2195
- NPI assigned
- Dec 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Okoro
- Title
- Director of Pharmacy
- Phone
- (832) 865-0795
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Institutional Pharmacy | 3336I0012X | 27035 | TX | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Managed Care Organization Pharmacy | 3336M0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1475 FM 1960 Bypass Rd E
Humble, TX 77338-3909
Mailing address
1475 FM 1960 Bypass Rd E
Humble, TX 77338-3909
Phone (832) 865-0795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166649 | Other | PK |
Other names 1
- Humble Surgical Hospital, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 670074
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
- HUMBLE SURGICAL HOSPITAL, LLC
- Certification status
- Terminated Voluntary: risk of involuntary termination, Sep 23, 2011
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 6, 2010
- Last certification
- Aug 25, 2011
- Beds
- 5
- Ownership / control type
- Physician ownership
- Facility address
- 1475 FM 1960 Bypass Rd E
Humble, TX 77338
Hospital certification: CCN 670113
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
- HUMBLE SURGICAL HOSPITAL, LLC
- Certification status
- Terminated Voluntary: merger or closure, Jul 29, 2019
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Feb 18, 2016
- Last certification
- Feb 19, 2016
- Beds
- 5
- Ownership / control type
- Physician ownership
- Facility address
- 1475 FM 1960 Bypass Road East
Humble, TX 77338
National Provider Directory
National Provider Directory- Tax ID family
- Humble Surgical Hospital LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Spring, TX
- NPI 1295188738
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1730564410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1720522725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 FM 1960 BYPASS RD E",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383909",
"telephone_number": "832-865-0795",
"fax_number": "281-964-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 FM 1960 BYPASS RD E",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383909",
"telephone_number": "832-865-0795",
"fax_number": "281-964-2195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBLE SURGICAL HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "OKORO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "832-865-0795"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "TX",
"license": "27035",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166649",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Humble Surgical Hospital, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Humble, TX
- Humble Spine & Pain Management PLLC
- Humble Spine Associates, PLLC
- Humble Spine Center, PA
- Humble Spine Surgery, PLLC
- Humble Sports Orthopaedics, PLLC
- Humble Treatment Services PLLC
- Humble Twelve Diagnostics PLLC
- Humble Vascular Surgical Center LLC
- Humbok Neurosurgery, PLLC
- Erin Elizabeth Hunnicutt, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.