Provider Demographics
NPI:1942286414
Name:SCCI HOSPITAL VENTURES, INC.
Entity Type:Organization
Organization Name:SCCI HOSPITAL VENTURES, INC.
Other - Org Name:KINDRED HOSPITAL MIDTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VP OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROTHGERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7300
Mailing Address - Street 1:105 DREW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 DREW ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1527
Practice Address - Country:US
Practice Address - Phone:713-529-8922
Practice Address - Fax:713-529-8922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2018-08-15
Deactivation Date:2016-11-22
Deactivation Code:
Reactivation Date:2018-08-15
Provider Licenses
StateLicense IDTaxonomies
TX000678282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021010601Medicaid
TXHH1071OtherBLUE CROSS
452027Medicare Oscar/Certification