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Organization Active NPI

Memorial Hermann Health System

Doing business as Memorial Hermann Hospital Rehabilitation Unit

  • Rehabilitation Hospital Unit
  • Houston, TX
National Provider Identifier
1992747125
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000347 Issued in TX
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Memorial Hermann Hospital Rehabilitation Unit
Practice address
6411 Fannin St
Houston, TX 77030-1501
Phone
(713) 704-6614
Fax
(713) 704-4798
NPI assigned
Jun 12, 2006
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mr. Dennis Laraway
Title
Chief Financial Officer
Phone
(713) 242-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000347 TX Primary

Addresses

Primary practice location

6411 Fannin St
Houston, TX 77030-1501

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
137805107MedicaidTX

Other names 1

  • Memorial Hermann Hospital Rehabilitation Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000804 TX Part A Provider - Hospital 1759292683 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992747125. Details of each certification follow.

Hospital certification: CCN 45T068

Legal name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
MEMORIAL HERMANN TEXAS MEDICAL CENTER REHABILITATION UNIT
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1910 in TX
Enrollment address
6411 Fannin St
System Services Rac Audit Department
Houston, TX 77030-1501
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Memorial Hermann Texas Medical Center Rehab UnitCCN 45T068 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann HSP Sy63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Greg Armstrong Individual OtherBoard Member Jan 1, 2025
Rishi Varma Individual OtherBoard Member Jan 1, 2025
Monica Benton Individual OtherBoard Member Jan 1, 2025
Memorial Hermann Health System Organization, Houston, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Operational/Managerial Control Jan 1, 2013 100%
Richard Figueroa Individual OtherBoard Member Jan 1, 2025
Theresa Ancelet Pappas Individual Corporate OfficerVP Revenue Cycle Hospital Operation Nov 1, 2025
Sara Ortwein Individual OtherBoard Member Jan 1, 2025
John a. Graf Individual Other Jan 1, 2020
Jarvis Hollingsworth Individual OtherBoard Member Jan 1, 2025
Jay F Schneider Individual Other Jan 1, 2020
David Habachy Individual OtherBoard Member Jan 1, 2025
John Esquivel Individual OtherBoard Member Jan 1, 2025
Alan Victor Ytterberg Individual OtherBoard Member Jan 1, 2025
Neelofer S Durrani Individual OtherBoard Member Jan 1, 2025
Anne Taylor Individual OtherBoard Member Jan 1, 2025
Max Reynolds Individual Corporate DirectorChief Legal Officer Mar 1, 2025
W-2 Managing EmployeeChief Legal Officer Mar 1, 2025
Ira L Flax Individual OtherBoard Member Jan 1, 2025
Charmaine Ferguson Individual W-2 Managing EmployeeVP Risk Management & Litigation Aug 1, 2018
Aileen McCormick Individual OtherBoard Member Jan 1, 2025
Edward Adams Individual OtherBoard Member Jan 1, 2025
Caralisa M Simon Individual OtherBoard Member Jan 1, 2025
Harry Pefanis Individual OtherBoard Member Jan 1, 2025
Gary J Sheppard Individual OtherBoard Member Jan 1, 2025
Kevin Brady Individual OtherBoard Member Jan 1, 2025
Anne Clutterbuck Individual OtherBoard Member Jan 1, 2025
Donald M Woo Individual Other Jan 1, 2020
David L Callender Individual Corporate OfficerPresident Sep 1, 2019
W-2 Managing EmployeeChief Executive Officer Sep 1, 2019
Willoughby C Williams Individual OtherBoard Member Jan 1, 2025

Owners & managing parties with NPI records 16

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

View all 16

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hermann Sugar Land HospitalSugar Land, TX, CCN 450848 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Katy HospitalKaty, TX, CCN 450847 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2001
Jul 1, 2001
Memorial Hermann Northeast HospitalHumble, TX, CCN 450684 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2007
Jan 1, 2007
Memorial Hermann Memorial City Medical CenterHouston, TX, CCN 450610 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2010
Jan 1, 2013
Memorial Hermann Texas Medical CenterHouston, TX, CCN 450068 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Hospital SystemHouston, TX, CCN 450184 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Hospital System Rehabilitation UnitHouston, TX, CCN 45T184 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Rehabilitation Hospital KatyKaty, TX, CCN 673038 Hospital 5% Or Greater Indirect Ownership Interest Apr 1, 2009
Tirr Memorial HermannHouston, TX, CCN 453025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Accentcare Home Health of Houston - North, LLCHouston, TX, CCN 457741 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Home Health of Houston - South, LLCSugar Land, TX, CCN 679102 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Hospice & Palliative Care of Houston - South, LLCHouston, TX, CCN 671559 Hospice 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Hospice & Palliative Care of Houston - North, LLCHouston, TX, CCN 671741 Hospice 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023

Owned or controlled facilities with NPI records 26

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 26

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1992747125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-704-6614",
            "fax_number": "713-704-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137805107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Hospital Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.