NPIMap

Organization Active NPI

Frio Hospital District

Doing business as Village Creek Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Fort Worth, TX
National Provider Identifier
1013519834
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRIO HOSPITAL DISTRICT
Doing business as
Village Creek Nursing & Rehabilitation
Practice address
3825 Village Creek Rd
Fort Worth, TX 76119-2115
Phone
(817) 534-9933
Fax
(817) 536-5008
NPI assigned
Nov 16, 2020
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Michael Jon Ruff
Title
Cfo
Phone
(214) 205-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3825 Village Creek Rd
Fort Worth, TX 76119-2115

Mailing address

3825 Village Creek Rd
Fort Worth, TX 76119-2115
Phone (817) 534-9933

Other names 1

  • Village Creek Nursing & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313004088 TX Part A Provider - Skilled Nursing Facility 1658657929 Practice locations: Fort Worth, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013519834. Details of each certification follow.

Skilled nursing facility certification: CCN 675977

Legal name
FRIO HOSPITAL DISTRICT
Doing business as
VILLAGE CREEK NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 29, 2003
Last certification
Jul 11, 2024
Beds
100
Ownership / control type
Individual
Multi-facility organization
OPCO
Organization structure
GovernmentNon-profit
Enrollment address
3825 Village Creek Rd
Fort Worth, TX 76119-2115
Nursing home name
VILLAGE CREEK NURSING & REHABILITATION
Affiliated entity
OPCO SKILLED MANAGEMENT

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Care Compare: Nursing home

Medicare Care Compare
Listed as
Village Creek Nursing & RehabilitationCCN 675977 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 29, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10087.5 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain
Penalties (3 years)
2Fines totaling $19,009

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Frio Hospital District26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Continuum Rehab Group LLC Organization, Los Angeles, CA LLC Adp of the SNF Jan 1, 2024
3825 Village Creek Road, LLC Organization, Los Angeles, CA LLC Adp of the SNF Jan 1, 2024
Gloria L Osborne Individual Adp of the SNF Jan 1, 2024
Village Creek Nursing & Rehabilitation LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Jan 1, 2024 100%
Frio Hospital District Organization, Pearsall, TX 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Altitude Realty Holdings, LLC Organization, Los Angeles, CA LLC Adp of the SNF Jan 1, 2024
Opco Ca Skilled MGMT Inc. Organization, Los Angeles, CA Corporation Adp of the SNF Jan 1, 2024
Montgomery Sky Trust Organization, Los Angeles, CA Adp of the SNF Jan 1, 2024
Michael Ruff Individual Corporate OfficerCfo Jan 1, 2024
Opco Texas Skilled MGMT LLC Organization, Los Angeles, CA LLC Adp of the SNF Jan 1, 2024
Adolphus Ray Lewis Individual Adp of the SNF Jan 1, 1989
Gibraltar Trust Organization, Los Angeles, CA Adp of the SNF Jan 1, 2024
David Garetz Individual Operational/Managerial ControlCfo of Manager Jan 1, 2024
Larchmont Realty, LLC Organization, Los Angeles, CA LLC Adp of the SNF Jan 1, 2024

Owners & managing parties with NPI records 24

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

View all 24

All facility ownership & control disclosures 21

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

FacilityTypeRoleSince
Broadway Nursing & RehabilitationSan Antonio, TX, CCN 455467 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Palms Nursing & RehabilitationCorpus Christi, TX, CCN 455557 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2020
The Springs Healthcare and RehabilitationCedar Park, TX, CCN 676327 Skilled nursing facility 5% Or Greater Direct Ownership Interest Apr 1, 2019
Autumn Leaves Nursing and RehabHenderson, TX, CCN 676025 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2022
Oasis at PearlandPearland, TX, CCN 675557 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 8, 2023
Sylvan Shores Health and WellnessLa Porte, TX, CCN 676490 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Highland Pines Nursing HomeLongview, TX, CCN 675133 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Arbor Lake Nursing & RehabilitationFort Worth, TX, CCN 675034 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Richardson Nursing and RehabilitationRichardson, TX, CCN 675109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
Cypress Pointe Health & WellnessHouston, TX, CCN 676482 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
San Antonio Wellness & RehabilitationSan Antonio, TX, CCN 455762 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Castle Hills Rehabilitation and Care CenterSan Antonio, TX, CCN 455510 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
Fallbrook Rehabilitation and Care CenterHouston, TX, CCN 455815 Skilled nursing facility 5% Or Greater Direct Ownership Interest Feb 1, 2024
Treemont Health Care CenterHouston, TX, CCN 676009 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Harmony Care at BeaumontBeaumont, TX, CCN 675595 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2024
Harmony Care at GiddingsGiddings, TX, CCN 675564 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
Harmony Care at StamfordStamford, TX, CCN 675769 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2024
Harmony Care at FloresvilleFloresville, TX, CCN 675469 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 25, 2024
Harmony Care at BrookshireBrookshire, TX, CCN 675700 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 25, 2024
White Acres Wellness & RehabilitationEl Paso, TX, CCN 675025 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
Harmony Care at GolfcrestHouston, TX, CCN 675233 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2024

Owned or controlled facilities with NPI records 21

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

View all 21

Facilities with the same owner 21

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

View all 21

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.

Affiliated clinicians 1

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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1013519834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 VILLAGE CREEK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761192115",
            "telephone_number": "817-534-9933",
            "fax_number": "817-536-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 VILLAGE CREEK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761192115",
            "telephone_number": "817-534-9933",
            "fax_number": "817-536-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIO HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-205-6512"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Creek Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.