NPIMap

Organization Active NPI

SHC-KPH, LP

  • Psychiatric Hospital
  • Kingwood, TX
National Provider Identifier
1861598633
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
008186 Issued in TX
Legal business name
SHC-KPH, LP
Doing business as
Kingwood Pines Hospital
Practice address
2001 Ladbrook Dr
Kingwood, TX 77339-3004
Phone
(281) 358-1495
Fax
(281) 358-2520
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 008186 TX Primary

Addresses

Primary practice location

2001 Ladbrook Dr
Kingwood, TX 77339-3004

Mailing address

2001 Ladbrook Dr
Kingwood, TX 77339-3004
Phone (281) 358-1495

Other identifiers 1

IdentifierTypeStateIssuer
175965601MedicaidTX

Other names 1

  • Kingwood Pines Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405000850 TX Part A Provider - Hospital 3870540586 Practice locations: Kingwood, TX

Hospital certification: CCN 454103

Legal name
SHC-KPH, LP
Doing business as
KINGWOOD PINES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 25, 2005
Last certification
Nov 18, 2022
Beds
116
Ownership / control type
Private (for profit)
Organization structure
OtherProprietary
Incorporated
Jan 28, 2005 in TX
Enrollment address
2001 Ladbrook Dr
Kingwood, TX 77339-3004
Other Hospital Practice Location
Hospital subgroups
Alcohol/drug, Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Kingwood Pines HospitalCCN 454103 · 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
45D0995798SHC-KPH, LP2001 Ladbrook Drive, Kingwood, TX 77339Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

22751 Professional Dr
Kingwood, TX 77339
Phone (281) 319-8380

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAsst Secretary Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Corporate DirectorSecretary Nov 15, 2010 33.3%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President and Board Member Nov 15, 2010 100%
Corporate DirectorVice President and Board Member Nov 15, 2010 33.3%
Operational/Managerial ControlVice President and Board Member Nov 15, 2010 100%
Horizon Health Corporation Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2007 100%
Horizon Health Hospital Services LLC Organization, King of Prussia, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2007 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
Kingwood Pines Hospital, LLC Organization, Kingwood, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 27, 2005 99.9%
Limited Partnership Interest Jan 27, 2005 99.9%
James M Coleman Individual Contracted Managing EmployeeSr Reimbursement MNGR Nov 15, 2010 50%
Ida V Davis Individual Contracted Managing EmployeeCfo Oct 16, 2023
Corporate OfficerCfo Oct 16, 2023
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Jul 19, 2006 100%
Kristin Williams Individual Contracted Managing EmployeeCeo Aug 19, 2019
Corporate OfficerCeo Aug 19, 2019
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 7, 1989 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

Facilities with the same owner 172

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

View all 172

Practitioners & affiliated clinicians

Practitioners 4

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299974400000",
    "number": "1861598633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LADBROOK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393004",
            "telephone_number": "281-358-1495",
            "fax_number": "281-358-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LADBROOK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393004",
            "telephone_number": "281-358-1495",
            "fax_number": "281-358-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC-KPH, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-03-13",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "008186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175965601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingwood Pines Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.