NPIMap

Organization Active NPI

Prime Healthcare Services Lower Bucks LLC

Doing business as Lower Bucks Hospital - Psych Unit

  • Psychiatric Hospital Unit
  • Bristol, PA
National Provider Identifier
1992055305
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC
Doing business as
Lower Bucks Hospital - Psych Unit
Practice address
501 Bath Rd
Bristol, PA 19007-3101
Phone
(215) 785-9200
NPI assigned
Sep 12, 2012
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Radha Savitala
Title
Deputy General Counsel
Phone
(909) 235-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3101

Mailing address

3300 E Guasti Rd
Suite 300
Ontario, CA 91761-8655
Phone (909) 235-4400

Other names 1

  • Lower Bucks Hospital - Psych Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130409000322 PA Part A Provider - Hospital 0143471334 Practice locations: Bristol, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992055305. Details of each certification follow.

Hospital certification: CCN 39S070

Legal name
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC
Doing business as
LOWER BUCKS HOSPITAL
Organization structure
LLCProprietary
Incorporated
Aug 8, 2012 in DE
Enrollment address
501 Bath Road
Psych Unit
Bristol, PA 19007-3101
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services Lower Bucks LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Prime Healthcare Services, Inc Organization, Ontario, CA Corporation 5% Or Greater Direct Ownership Interest Aug 8, 2012 100%
David Lim Individual Corporate OfficerChief Financial Officer Apr 26, 2017
W-2 Managing EmployeeChief Financial Officer Apr 26, 2017
Luis Leon Individual Contracted Managing EmployeePresident Hospital Operations II Oct 3, 2012
Corporate OfficerPresident Hospital Operations II Oct 3, 2012
Steven Aleman Individual Corporate OfficerCorporate Chief Financial Officer Jun 1, 2020
Michael J Motte Individual Corporate OfficerChief Executive Officer Jun 28, 2020
Corporate DirectorDirector Jun 28, 2020
W-2 Managing EmployeeChief Executive Officer Jun 28, 2020
Christopher Doan Individual Corporate OfficerChief Compliance Counsel Apr 24, 2017

Facilities with the same owner 75

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

View all 75

Practitioners & affiliated clinicians

Practitioners 2

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": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1992055305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E GUASTI RD",
            "address_2": "SUITE 300",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618655",
            "telephone_number": "909-235-4400",
            "fax_number": "909-235-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES LOWER BUCKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SAVITALA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4400"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Bucks Hospital - Psych Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.