Hamilton County Hospital District

Organization Active NPI Skilled Nursing Facility · Mathis, TX

NPI 1043925928 · NPPES record last updated Oct 6, 2025

Key facts

NPI
1043925928
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
HAMILTON COUNTY HOSPITAL DISTRICT
Practice address
1220 Loop 459
Mathis, TX 78368-1804
Phone
(361) 547-3318
NPI assigned
Jan 16, 2023
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Corporate family (same tax ID) 14

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

Facilities with the same owner 54

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

View all 54

Practitioners 3

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

Medicare Care Compare: Nursing home

Listed as
Palma Real CCN 675312
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
Active (Provider of Services file)
Certified beds
90 · 51.0 residents per day on average
Chain
Cantex Continuing Care (37 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

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
Government · Non-profit
Enrollment address
1220 Loop 459
Mathis, TX 78368-1804
Nursing home name
PALMA REAL
Affiliated entity
CANTEX CONTINUING CARE

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 Officer
Ceo
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

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 Hospital
Hamilton, TX · CCN 45Z392
Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 7, 2007
Oct 7, 2007
Hamilton General Hospital
Hamilton, TX · CCN 451392
Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 7, 2007
Oct 7, 2007
Pecan Creek Healthcare Center
Hamilton, TX · CCN 455954
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2022
Bel Air at Teravista
Round Rock, TX · CCN 676345
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2025
Avir at Kaufman
Kaufman, TX · CCN 455962
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Riverside Nursing and Rehabilitation Center
Austin, TX · CCN 676246
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Brodie Ranch Nursing and Rehabilitation Center
Austin, TX · CCN 676267
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
West Oaks Nursing and Rehabilitation Center
Austin, TX · CCN 676095
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Goldthwaite Health & Rehab Center
Goldthwaite, TX · CCN 676086
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Onion Creek Nursing and Rehabilitation Center
Austin, TX · CCN 676271
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Focused Care at Hamilton
Hamilton, 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 Rehabilitation
Goldthwaite, TX · CCN 675388
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Park Manor Bee Cave
Bee Cave, TX · CCN 676373
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
The Eden of Las Colinas
Irving, TX · CCN 675967
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
Park Manor of McKinney
McKinney, TX · CCN 675175
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Avir at Bandera
Bandera, TX · CCN 676233
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Park Valley Inn Health Center
Round 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 Center
New Braunfels, TX · CCN 676472
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2020
Cross Country Healthcare Center
Brownwood, TX · CCN 675017
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021
Coleman Healthcare Center
Coleman, TX · CCN 675009
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021
Advanced Rehabilitation and Healthcare of Wichita Falls
Wichita 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
Sorrento
San Antonio, TX · CCN 676378
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Coronado at Stone Oak
San Antonio, TX · CCN 676353
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Colonial Manor Advanced Rehab & Healthcare
Pharr, TX · CCN 675044
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Advanced Health & Rehab Center of Garland
Garland, TX · CCN 455731
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Whispering Oaks Rehab & Nursing
Cuero, TX · CCN 675134
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Laurenwood Nursing and Rehabilitation
Duncanville, TX · CCN 675806
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Henderson Health & Rehabilitation Center
Henderson, TX · CCN 455986
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Atrium Rehabilitation Center
San Antonio, TX · CCN 675205
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Advanced Rehabilitation & Healthcare of Live Oak
Live Oak, TX · CCN 675437
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Lindan Park Care Center
Richardson, TX · CCN 675870
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Windemere at Westover Hills
San Antonio, TX · CCN 676402
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
The Renaissance at Kessler Park
Dallas, TX · CCN 455996
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Lennwood Nursing and Rehabilitation
Dallas, TX · CCN 675820
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Rosenberg Health & Rehabilitation Center
Rosenberg, TX · CCN 675046
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Golden Estates Rehabilitation Center
San Antonio, TX · CCN 675690
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Stonemere Rehabilitation Center
Frisco, TX · CCN 676352
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Inspiration Hills Rehabilitation Center
San Antonio, TX · CCN 675138
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Sulphur Springs Health and Rehabilitation
Sulphur Springs, TX · CCN 455579
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Riverside Oaks
Victoria, TX · CCN 455726
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Avante Rehabilitation Center
Irving, TX · CCN 675908
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Collinwood Nursing and Rehabilitation
Plano, TX · CCN 675453
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Arbor Grace Guest Care Center
Kilgore, TX · CCN 675814
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
The Reserve at Richardson
Richardson, TX · CCN 676448
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Cedar Hollow Rehabilitation Center
Sherman, TX · CCN 676488
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Cedar Pointe Health and Wellness Center
Cedar Park, TX · CCN 676432
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Millbrook Healthcare and Rehabilitation Center
Lancaster, TX · CCN 676188
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
The Lakes at Texas City
Texas City, TX · CCN 455490
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2024
Greenville Health & Rehabilitation Center
Greenville, TX · CCN 675020
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Advanced Rehabilitation & Healthcare of Burleson
Burleson, TX · CCN 676496
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Heritage House at Paris Rehab & Nursing
Paris, TX · CCN 676294
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Family Practice Rural Health Clinic
Hamilton, TX · CCN 458540
Rural health clinic Operational/Managerial Control Jun 1, 2008
Hico Clinic
Hico, TX · CCN 458878
Rural health clinic Operational/Managerial Control Oct 1, 2008
Family Practice Clinic of Mills County
Goldthwaite, TX · CCN 458895
Rural health clinic Operational/Managerial Control Apr 1, 2009

Medicare enrollment records

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

National Provider Directory

Tax ID family
Hamilton General Hospital (62 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

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

  • Palma Real Doing business as

Other providers in Mathis, TX

All providers in Mathis, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.