Scci Hospital Ventures, Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

000678 Issued in TX

Legal business name

SCCI HOSPITAL VENTURES, INC.

Doing business as

Kindred Hospital Midtown

Practice address

105 Drew St
Houston, TX 77006-1527

Phone

(713) 529-8922

Fax

(713) 529-8922

NPI assigned

Dec 16, 2005

Reactivated

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arthur L. Rothgerber

Title

Sr. VP of Reimbursement

Phone

(502) 596-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kindred Hospital Midtown Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942286414. Details of each certification follow.

• CCN 452027 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 452027

Legal name

KINDRED HOSPITAL MIDTOWN

Certification status

Terminated Voluntary: merger or closure, Sep 9, 2013

Provider type (POS)

Hospital – Long-term

Participating since

Aug 1, 1993

Last certification

May 25, 2012

Beds

40

Ownership / control type

Private (for profit)

Facility address

105 Drew
Houston, TX 77006

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1942286414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DREW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DREW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061527",
            "telephone_number": "713-529-8922",
            "fax_number": "713-529-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCI HOSPITAL VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-08-15",
        "deactivation_date": "2016-11-22",
        "reactivation_date": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "ROTHGERBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SR. VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "000678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021010601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH1071",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Midtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scarsdale Imaging, Inc
• Scarsdale Pharmacy
• Scarsdale Pharmacy, LLC (Saigon Pharmacy)
• Scarsdale Pharmacy, LLC (South Belt Pharmacy)
• Scarsdale Vision Center
• Christian Patrick Schaaf, M.D.
• Priti Schachel, M.D.
• Elizabeth A. Schacht, PA
• Julie Sarah Schackman, M.D.
• Mark Lynn Schade, PHD

• Long Term Care Hospital in Houston, TX
• Providers in Houston, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.

Verify at the official NPI Registry.