NPIMap

Organization Active NPI

Methodist Transitional Care Center-Desoto LLC

  • Skilled Nursing Facility
  • Desoto, TX
National Provider Identifier
1043878069
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC
Practice address
109 Methodist Way
Desoto, TX 75115-1263
Phone
(281) 419-5520
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Laurence Daspit
Title
Cfo
Phone
(281) 419-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

109 Methodist Way
Desoto, TX 75115-1263

Mailing address

1780 Hughes Landing Blvd Ste 500
The Woodlands, TX 77380-4009
Phone (281) 419-5520

Owners & managing parties with NPI records 9

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

Facilities with the same owner 175

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

View all 175

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Methodist Transitional Care Center-Desoto LLCCCN 676492
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 23, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10073.2 residents per day on average
Chain
HMG Healthcare31 facilities in the chain
Penalties (3 years)
2Fines totaling $27,993

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406001400 TX Part A Provider - Skilled Nursing Facility 0446689897 Practice locations: Desoto, TX

Skilled nursing facility certification: CCN 676492

Legal name
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC
Doing business as
FORVIS MAZARS, LLP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 23, 2020
Last certification
May 17, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
HMG SERVICES, LLC
Organization structure
LLCProprietary
Enrollment address
109 Methodist Way
Desoto, TX 75115-1263
Nursing home name
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC
Affiliated entity
HMG HEALTHCARE

All disclosed owners & managing parties 22

Medicare enrollment files

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

NameRoleSinceShare
Ana I Pico Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2018 33%
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Methodist Transitional Care Center-Desoto LLC Organization, Desoto, TX LLC, Chain home office 5% Or Greater Direct Ownership Interest Mar 15, 2020
Operational/Managerial Control Mar 15, 2020
Adp of the SNF Mar 15, 2020
Hooman Sedighi Individual Adp of the SNF Mar 15, 2020
Catina Perkins Individual Operational/Managerial Control Apr 15, 2024
Adp of the SNF Apr 15, 2024
Roland Wayne Culp Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2018 33%
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Desoto Rehabilitation Institute LLC Organization, The Woodlands, TX LLC Operational/Managerial Control Nov 1, 2019
Krystal Balsamo Individual Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Dustin Anthamatten Individual Corporate OfficerVP of Operations of Methodist Nov 1, 2019
Adp of the SNF Mar 15, 2020
Brandi Vega Individual Operational/Managerial Control Jun 15, 2023
Adp of the SNF Jun 15, 2023
Norma Stanbridge Individual Adp of the SNF Apr 1, 2018
Methodist Hospitals of Dallas Organization, Dallas, TX Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2019 51%
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Mar 15, 2020
Laurence C Daspit Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2019 16%
Corporate OfficerCfo Nov 1, 2019
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
William W Dohn Individual Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
HMG Healthcare LLC Organization, The Woodlands, TX LLC 5% Or Greater Direct Ownership Interest Nov 1, 2019 49%
Forvis Mazars LLP Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Frances W Laukaitis Individual Corporate OfficerPresident of Methodist Nov 1, 2019
Adp of the SNF Mar 15, 2020
Christian Reinarz Individual Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Cibc Bank USA Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2018
Zions Bancorporation Organization, Salt Lake City, UT Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2018
Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2018
Derek L Prince Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2019 16%
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Georgette Davis Individual Operational/Managerial Control Aug 20, 2001
Adp of the SNF Jan 14, 2023
Global Prime Health, LLC Organization, Dallas, TX LLC Operational/Managerial Control Apr 1, 2018
Adp of the SNF Mar 15, 2020

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1043878069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 HUGHES LANDING BLVD STE 500",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804009",
            "telephone_number": "281-419-5520",
            "fax_number": "281-419-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 METHODIST WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151263",
            "telephone_number": "281-419-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "DASPIT",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-419-5520"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.