Active NPI
Excellence Emergency Hospital LLC
Doing business as East Houston Medical Center PLLC
- General Acute Care Hospital
- Houston, TX
National Provider Identifier
1972258580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- EXCELLENCE EMERGENCY HOSPITAL LLC
- Doing business as
- East Houston Medical Center PLLC
- Practice address
- 15149 Wallisville Road
Houston, TX 77049 - Phone
- (281) 864-0448
- NPI assigned
- Feb 14, 2022
- Last updated
- Oct 4, 2022
- 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
- Inam Khan
- Title
- Coo
- Phone
- (832) 457-4920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
15149 Wallisville Road
Houston, TX 77049
Mailing address
15149 Wallisville Road
Houston, TX 77049
Other names 1
- East Houston Medical Center PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220914003774 | TX | Part A Provider - Hospital | 1850776667 | Practice locations: Houston, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972258580. Details of each certification follow.
Hospital certification: CCN 670320
- Legal name
- EXCELLENCE EMERGENCY HOSPITAL LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 2, 2023
- Last certification
- Jun 2, 2023
- Beds
- 4
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Enrollment address
- 15149 Wallisville Rd
Houston, TX 77049-4619 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- East Houston Medical Center
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- East Houston Medical Center PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Care Clinic/Center
- Houston, TX
- NPI 1891423661
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Excellence Emergency Hospital LLC | 5% Or Greater Direct Ownership Interest | Apr 26, 2019 | 100% |
| Inam Khan | W-2 Managing Employee | Jul 26, 2022 | 100% |
| Kashif H Ansari | 5% Or Greater Direct Ownership Interest | Apr 26, 2019 | 100% |
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.
-
- Hematology & Oncology Physician
- Baytown, TX
- NPI 1164405023
Affiliated clinicians 32
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1972258580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15149 WALLISVILLE ROAD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15149 WALLISVILLE ROAD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77049",
"telephone_number": "281-864-0448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE EMERGENCY HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-14",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "INAM",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "832-457-4920"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Houston Medical Center PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
- Excel Pharmacy Inc.
- Excell Health System Corp
- Excell Pediatrics
- Excell Surgical Assistants Management PLLC
- Excellence Clinic of Texas, PLLC (Excellence Clinic)
- Excellence Emergency Hospital Physician PLLC
- Excellence HHS LLC
- Excellence Hospital of Texas PLLC
- Excellence in Rheumatology, PA
- Excellence Speciality Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.