NPIMap

Organization Active NPI

Hamilton County Hospital District

Doing business as Palma Real

  • Skilled Nursing Facility
  • Mathis, TX
National Provider Identifier
1043925928
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAMILTON COUNTY HOSPITAL DISTRICT
Doing business as
Palma Real
Practice address
1220 Loop 459
Mathis, TX 78368-1804
Phone
(361) 547-3318
NPI assigned
Jan 16, 2023
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Robin Frances Underhill
Title
Ceo
Phone
(214) 954-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1220 Loop 459
Mathis, TX 78368-1804

Mailing address

2537 Golden Bear Dr
Carrollton, TX 75006-2377
Phone (972) 729-6970

Other names 1

  • Palma Real Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230405002196 TX Part A Provider - Skilled Nursing Facility 2062326234 Practice locations: Mathis, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043925928. Details of each certification follow.

Skilled nursing facility certification: CCN 675312

Legal name
HAMILTON COUNTY HOSPITAL DISTRICT
Doing business as
PALMA REAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 11, 1994
Last certification
Apr 17, 2025
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cantex Continuing Care Network
Organization structure
GovernmentNon-profit
Enrollment address
1220 Loop 459
Mathis, TX 78368-1804
Nursing home name
PALMA REAL
Affiliated entity
CANTEX CONTINUING CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palma RealCCN 675312 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 11, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9051.0 residents per day on average
Chain
Cantex Continuing Care37 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hamilton County Hospital District62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Hamilton County Hospital District Organization, Hamilton, TX Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Mathis Health Care Center LTD Co Organization, Carrollton, TX LLC, Management services company Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 27, 2025
Melissa Salaiz Individual Adp of the SNF Nov 14, 2016
Grady Hooper Individual Corporate OfficerCeo Dec 1, 2015
Andres Alaniz Individual Adp of the SNF Dec 31, 2019
Traniecia Ballard Individual Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 2, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 55

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

FacilityTypeRoleSince
Hamilton General HospitalHamilton, TX, CCN 45Z392 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 7, 2007
Oct 7, 2007
Hamilton General HospitalHamilton, TX, CCN 451392 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 7, 2007
Oct 7, 2007
Pecan Creek Healthcare CenterHamilton, TX, CCN 455954 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2022
Bel Air at TeravistaRound Rock, TX, CCN 676345 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2025
Avir at KaufmanKaufman, TX, CCN 455962 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Riverside Nursing and Rehabilitation CenterAustin, TX, CCN 676246 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Brodie Ranch Nursing and Rehabilitation CenterAustin, TX, CCN 676267 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
West Oaks Nursing and Rehabilitation CenterAustin, TX, CCN 676095 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Goldthwaite Health & Rehab CenterGoldthwaite, TX, CCN 676086 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Onion Creek Nursing and Rehabilitation CenterAustin, TX, CCN 676271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Focused Care at HamiltonHamilton, TX, CCN 675140 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Apr 1, 2019
Apr 1, 2019
Mar 10, 2025
Apr 1, 2019
Hillview Nursing and RehabilitationGoldthwaite, TX, CCN 675388 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Park Manor Bee CaveBee Cave, TX, CCN 676373 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
The Eden of Las ColinasIrving, TX, CCN 675967 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
Park Manor of McKinneyMcKinney, TX, CCN 675175 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Avir at BanderaBandera, TX, CCN 676233 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Park Valley Inn Health CenterRound Rock, TX, CCN 676471 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2020
May 1, 2020
Sundance Inn Health CenterNew Braunfels, TX, CCN 676472 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2020
Cross Country Healthcare CenterBrownwood, TX, CCN 675017 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021
Coleman Healthcare CenterColeman, TX, CCN 675009 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021
Advanced Rehabilitation and Healthcare of Wichita FallsWichita Falls, TX, CCN 675852 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Clarksville Nursing Center.Clarksville, TX, CCN 455985 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
SorrentoSan Antonio, TX, CCN 676378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Coronado at Stone OakSan Antonio, TX, CCN 676353 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Colonial Manor Advanced Rehab & HealthcarePharr, TX, CCN 675044 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Advanced Health & Rehab Center of GarlandGarland, TX, CCN 455731 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Whispering Oaks Rehab & NursingCuero, TX, CCN 675134 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Laurenwood Nursing and RehabilitationDuncanville, TX, CCN 675806 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Henderson Health & Rehabilitation CenterHenderson, TX, CCN 455986 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Atrium Rehabilitation CenterSan Antonio, TX, CCN 675205 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Advanced Rehabilitation & Healthcare of Live OakLive Oak, TX, CCN 675437 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Lindan Park Care CenterRichardson, TX, CCN 675870 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Windemere at Westover HillsSan Antonio, TX, CCN 676402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
The Renaissance at Kessler ParkDallas, TX, CCN 455996 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Lennwood Nursing and RehabilitationDallas, TX, CCN 675820 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Rosenberg Health & Rehabilitation CenterRosenberg, TX, CCN 675046 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Golden Estates Rehabilitation CenterSan Antonio, TX, CCN 675690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Stonemere Rehabilitation CenterFrisco, TX, CCN 676352 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Inspiration Hills Rehabilitation CenterSan Antonio, TX, CCN 675138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Sulphur Springs Health and RehabilitationSulphur Springs, TX, CCN 455579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Riverside OaksVictoria, TX, CCN 455726 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Avante Rehabilitation CenterIrving, TX, CCN 675908 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Collinwood Nursing and RehabilitationPlano, TX, CCN 675453 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Arbor Grace Guest Care CenterKilgore, TX, CCN 675814 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
The Reserve at RichardsonRichardson, TX, CCN 676448 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Cedar Hollow Rehabilitation CenterSherman, TX, CCN 676488 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Cedar Pointe Health and Wellness CenterCedar Park, TX, CCN 676432 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Millbrook Healthcare and Rehabilitation CenterLancaster, TX, CCN 676188 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
The Lakes at Texas CityTexas City, TX, CCN 455490 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2024
Greenville Health & Rehabilitation CenterGreenville, TX, CCN 675020 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Advanced Rehabilitation & Healthcare of BurlesonBurleson, TX, CCN 676496 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Heritage House at Paris Rehab & NursingParis, TX, CCN 676294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Family Practice Rural Health ClinicHamilton, TX, CCN 458540 Rural health clinic Operational/Managerial Control Jun 1, 2008
Hico ClinicHico, TX, CCN 458878 Rural health clinic Operational/Managerial Control Oct 1, 2008
Family Practice Clinic of Mills CountyGoldthwaite, TX, CCN 458895 Rural health clinic Operational/Managerial Control Apr 1, 2009

Facilities with the same owner 54

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

View all 54

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1043925928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "972-729-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LOOP 459",
            "city": "MATHIS",
            "state": "TX",
            "postal_code": "783681804",
            "telephone_number": "361-547-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-954-4114"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palma Real",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palma Real",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mathis, TX

Sources for this page

Verify at the official NPI Registry.