Emergency Hospital Systems LLC
Organization Active NPI General Acute Care Hospital · Cleveland, TX
NPI 1992172019 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1992172019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- EMERGENCY HOSPITAL SYSTEMS LLC
- Practice address
- 1017 S Travis Ave
Cleveland, TX 77327-5152 - Phone
- (281) 592-5400
- NPI assigned
- Aug 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Shanti Bansal, M.D.
- Title
- Manager
- Phone
- (281) 592-5400
Owners & managing parties with NPI records 1
-
Rafael J Delaflor-Weiss, M.D.
Member organizations 2
Practitioners 129
-
Kamran Algilani, M.D.
-
Robert Healing, MD
-
Asim Abbasi, M.D
-
Samuel A Adesoba, MD
-
Rajiv Agarwal, MD
-
Ataurrabb Ahmad, M.D.
-
Yasir Akram, M.D
-
Amir Ali, M.D.
-
Zahra Piyar Ali, MD
-
Adan Alvarez, MD
-
Brigani Gargollo Amante, M.D., P.T.
-
Ronald Wanki Ngwa Ambe, M.D.
-
Young Cho An, M.D.
-
Robert Jessie Atchison, M.D.
-
Rebekah J. Baumgarner, M.D.
-
Micah Ryan Bosley, M.D.
-
Nika Elizabeth Brusatori, M.D.
-
Samuel Victor Canchola, M.D.
-
Braden Capt, DO
Affiliated clinicians 8
-
Kamran Algilani, M.D.
-
Rebekah J. Baumgarner, M.D.
-
Rafael J Delaflor-Weiss, M.D.
-
Robert Healing, MD
-
Jeffrey Alan Klem, M.D.
-
Eve Lynette Patton, M.D.
-
James Westmoreland, MD PA
Medicare Care Compare: Hospital
- Listed as
- Cleveland Emergency Hospital
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospital certification: CCN 670115
- Legal name
- EMERGENCY HOSPITAL SYSTEMS LLC
- Doing business as
- CLEVELAND EMERGENCY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 16, 2016
- Last certification
- May 6, 2021
- Beds
- 16
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 28, 2015 in TX
- Enrollment address
- 8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338-4019 - Hospital subgroups
- General
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Roy Moparty |
5% Or Greater Direct Ownership Interest | Sep 7, 2023 | 33.33% |
| Kare Family Limited Partnership LTD |
5% Or Greater Direct Ownership Interest | Jun 15, 2017 | 33.33% |
| Ravi Kumar Moparty |
5% Or Greater Direct Ownership Interest |
Jul 28, 2015 | 33.34% |
| Michael Adkins |
Operational/Managerial Control |
Sep 7, 2023 | 100% |
| Rafael J Delaflor-Weiss |
5% Or Greater Direct Ownership Interest |
Jul 28, 2015 | 33.33% |
| Moparty Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Nov 1, 2017 | 33.34% |
| Suman Smith |
Corporate Director |
Sep 7, 2023 | 100% |
| Derade LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2017 | 33.33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160121002048 | TX | Part a Provider - Hospital | 2567765761 | Practice locations: Humble, TX |
| O20170607000131 | TX | Part B Supplier - Clinic/Group Practice | 2567765761 |
Receives reassigned benefits from 124 practitioners Practice locations: Humble, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008404 | TX | |
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1017 S Travis Ave
Cleveland, TX 77327-5152
Mailing address
1017 S Travis Ave
Cleveland, TX 77327-5152
Phone (281) 592-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363070901 | Medicaid | TX | |
| 3630709-02 | Medicaid | TX |
Other names
- CLEVELAND EMERGENCY HOSPITAL
Other providers in Cleveland, TX
- Dr Luis G Schaeffer & Associates PA
- Dungarvin Texas, LLC
- Dungarvin Texas, LLC
- East Texas Eye Center PA
- Monica J Ellington
- Emerging Grace Ministries, Inc.
- ER Doc 24 7 PLLC
- Ricardo Escobar
- Farmacia la Fe
- Kathryn Marie Fitzwater
All providers in Cleveland, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.