Organization Active NPI

C&I Holdings, LLC

Doing business as Lone Star Behavioral Health, Cypress

  • Psychiatric Hospital
  • Cypress, TX
National Provider Identifier
1962786608
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
100114 Issued in TX
Legal business name
C&I HOLDINGS, LLC
Doing business as
Lone Star Behavioral Health, Cypress
Practice address
16303 Grant Rd
Cypress, TX 77429-1253
Phone
(281) 516-6186
NPI assigned
Sep 29, 2011
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mr. Nathan Ingram
Title
Manager, Member, Administrator
Phone
(281) 914-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 100114 TX Primary

Addresses

Primary practice location

16303 Grant Rd
Cypress, TX 77429-1253

Mailing address

16303 Grant Rd
Cypress, TX 77429-1253

Other identifiers 1

IdentifierTypeStateIssuer
100114OtherTXTX DEPT OF STATE HEALTH SERVICES

Other names 1

  • Lone Star Behavioral Health, Cypress Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111110000443 TX Part A Provider - Hospital 7517131428 Practice locations: Cypress, TX; Tomball, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962786608. Details of each certification follow.

Hospital certification: CCN 454118

Legal name
C&I HOLDINGS, LLC
Doing business as
LONE STAR BEHAVIORAL HEALTH, CYPRESS
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 12, 2012
Last certification
Feb 28, 2024
Beds
24
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 14, 2011 in TX
Enrollment address
16303 Grant Rd
Lone Star Behavioral Health, Cypress
Cypress, TX 77429-1253
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Lone Star Behavioral Health CypressCCN 454118 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Ci Holdings LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16303 Grant Rd
Cypress, TX 77429
Phone (281) 516-6186

30903 Quinn Rd
Tomball, TX 77375
Phone (281) 351-6644

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Nathan D Ingram Individual 5% Or Greater Direct Ownership Interest Feb 14, 2011 100%
Operational/Managerial Control Feb 14, 2011 80%
C&I Holdings, LLC Organization, Cypress, TX LLC 5% Or Greater Direct Ownership Interest Feb 14, 2011 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1962786608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 GRANT RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 GRANT RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291253",
            "telephone_number": "281-516-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&I HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER, MEMBER, ADMINISTRATOR",
        "authorized_official_telephone_number": "281-914-1012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "100114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT OF STATE HEALTH SERVICES",
            "identifier": "100114",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Behavioral Health, Cypress",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.