Active NPI
Lubbock Heart Hospital, LLC
Doing business as Lubbock Heart Hospital
- General Acute Care Hospital
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 008015
- Legal business name
- LUBBOCK HEART HOSPITAL, LLC
- Doing business as
- Lubbock Heart Hospital
- Practice address
- 4810 North Loop 289
Lubbock, TX 79416-3025 - Phone
- (806) 687-7777
- Fax
- (806) 472-3763
- NPI assigned
- May 24, 2005
- Last updated
- Aug 15, 2012
- 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
- Mr. Roy C. Vinson, FACHE
- Title
- Ceo
- Phone
- (806) 687-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 008015 | TX | Primary |
Addresses
Primary practice location
4810 North Loop 289
Lubbock, TX 79416-3025
Mailing address
4810 North Loop 289
Lubbock, TX 79416-3025
Phone (806) 687-7777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163219201 | Medicaid | TX | |
| 78174287 | Medicaid | NM | |
| HH1038 | Other | TX | BCBS |
| 163219202 | Medicaid | TX |
Other names 1
- Lubbock Heart Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000039 | TX | Part A Provider - Hospital | 8628973591 | Practice locations: Lubbock, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922001775. Details of each certification follow.
Hospital certification: CCN 450876
- Legal name
- LUBBOCK HEART HOSPITAL, LLC
- Doing business as
- LUBBOCK HEART HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 22, 2004
- Last certification
- Jun 19, 2019
- Beds
- 74
- Ownership / control type
- Hospital district or authority
- Organization structure
- LLC
- Incorporated
- Nov 22, 2002 in DE
- Enrollment address
- 4810 N Loop 289
Lubbock, TX 79416-3025 - Hospital subgroups
- General, Acute care, Short-term
Care Compare: Hospital
Medicare Care Compare- Listed as
- Lubbock Heart Hospital LP
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Lubbock Heart Hospital LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1407903586
Locations
4642 N Loop 289
Ste 211
Lubbock, TX 79416
Phone (806) 712-9007
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| SP Holdco I Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 78.66% |
| Sgry Holdings, LP | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 78.66% |
| Jennifer B Baldock | Corporate Officer | Nov 3, 2014 | |
| SP Management Services Inc | Operational/Managerial Control | Jun 20, 2012 | |
| Bcpe Seminole Holdings, LP | 5% Or Greater Indirect Ownership Interest | Dec 19, 2023 | 6.53% |
| Sgry, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 78.66% |
| Surgery Partners Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 78.66% |
| PSC Development Company LLC | 5% Or Greater Direct Ownership Interest | Apr 9, 2015 | 16.88% |
| Surgery Center Holdings Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 78.66% |
| Symbion Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 77.87% |
| Bcpe Seminole Holdings II Intermediate LP | 5% Or Greater Indirect Ownership Interest | Dec 19, 2023 | 18.25% |
| Phillip Desmond | Corporate Officer | Jun 30, 2025 | |
| W-2 Managing Employee | Jun 30, 2025 | ||
| Surgery Center Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 78.66% |
Facilities with the same owner 23
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba South Texas Spine & Surgical Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1295890093
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
Bcpe Seminole Holdings II Intermediate LP, Bcpe Seminole Holdings, LP, Sgry Holdings, LP, Sgry, LLC, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc, Symbion Holdings LLC
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Bcpe Seminole Holdings, LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
Bcpe Seminole Holdings II Intermediate LP, Bcpe Seminole Holdings, LP, Sgry Holdings, LP, Sgry, LLC, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc, Symbion Holdings LLC
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1417950650
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Lafayette Surgical Specialty Hospital
- General Acute Care Hospital
- Lafayette, LA
- NPI 1134222565
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- Special Hospital
- Franklin, WI
- NPI 1861635971
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- Special Hospital
- Omaha, NE
- NPI 1013122571
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, SP Management Services Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Durham, NC
- NPI 1437221785
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1578566006
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1477583052
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1013910546
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1477556900
-
- Specialist
- Lubbock, TX
- NPI 1487730511
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1174529507
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1265410591
Affiliated clinicians 134
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Vascular & Interventional Radiology Physician
- Lubbock, TX
- NPI 1124589387
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344988800000",
"number": "1922001775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 NORTH LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163025",
"telephone_number": "806-687-7777",
"fax_number": "806-472-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 NORTH LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163025",
"telephone_number": "806-687-7777",
"fax_number": "806-472-3763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBBOCK HEART HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2012-08-15",
"status": "A",
"authorized_official_last_name": "VINSON",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "806-687-7777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "008015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163219201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78174287",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH1038",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163219202",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lubbock Heart Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lubbock, TX
- Lubbock Essential Home Health Care, Inc (Essential Home Health)
- Lubbock Gastroenterology & Liver Associates PLLC
- Lubbock Gynecologic Oncology Associates, LLP
- Lubbock Hand Therapy PLLC
- Lubbock Heart Hospital
- Lubbock Heritage Hospital, LLC (Grace Medical Center)
- Lubbock Heritage Hospital, LLC. (Grace Surgical Hospital)
- Lubbock III Enterprises, LLC (Lubbock Health Care Center)
- Lubbock Impact Inc. Foundations of Healing Clinic
- Lubbock Independent School District (Lisd Eci Debt Program)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.