NPIMap

Organization Active NPI

Hansford County Hospital District

Doing business as The Plaza at Lubbock

  • Skilled Nursing Facility
  • Lubbock, TX
National Provider Identifier
1063461994
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
117770 Issued in TX
Legal business name
HANSFORD COUNTY HOSPITAL DISTRICT
Doing business as
The Plaza at Lubbock
Practice address
4910 Emory
Lubbock, TX 79416
Phone
(806) 740-0800
Fax
(806) 740-0803
NPI assigned
May 8, 2006
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Jonathan Bailey
Title
Authorized Officer
Phone
(806) 659-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 117770 TX Primary

Addresses

Primary practice location

4910 Emory
Lubbock, TX 79416

Mailing address

1500 Waters Ridge Dr
Suite 200
Lewisville, TX 75057-6011
Phone (972) 899-4401

Other identifiers 2

IdentifierTypeStateIssuer
180855201OtherTXMEDICAID CO B
001025410MedicaidTX

Other names 1

  • The Plaza at Lubbock Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150409001057 TX Part A Provider - Skilled Nursing Facility 5698723682 Practice locations: Lubbock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063461994. Details of each certification follow.

Skilled nursing facility certification: CCN 676105

Legal name
HANSFORD COUNTY HOSPITAL DISTRICT
Doing business as
THE PLAZA AT LUBBOCK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 5, 2006
Last certification
Oct 11, 2024
Beds
132
Ownership / control type
Corporation
Multi-facility organization
Stonegate Senior Living
Organization structure
GovernmentNon-profit
Enrollment address
4910 Emory St
Lubbock, TX 79416-3026
Nursing home name
THE PLAZA AT LUBBOCK
Affiliated entity
STONEGATE SENIOR LIVING

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Plaza at LubbockCCN 676105 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 5, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132101.2 residents per day on average
Chain
Stonegate Senior Living24 facilities in the chain
Penalties (3 years)
4Fines totaling $38,594

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

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
Jonathan C Bailey Individual Corporate OfficerCeo Feb 1, 2010
Katherine Magness Individual Operational/Managerial Control Dec 4, 2023
Adp of the SNF Dec 4, 2023
Melissa R Cornett Individual Adp of the SNF Oct 21, 2024
PF Lubbock SNF Ops, LLC Organization, Lewisville, TX LLC, For-profit Operational/Managerial Control Sep 23, 2021
Adp of the SNF Dec 5, 2025
Lifetime Wellness, LTD. Organization, Tyler, TX Adp of the SNF Sep 23, 2021
Martus Financial Services, Inc. Organization, Justin, TX Corporation, For-profit Adp of the SNF Dec 31, 2023
Rehab Pro LP Organization, Tyler, TX Adp of the SNF Sep 23, 2021
Hansford County Hospital District Organization, Spearman, TX 5% Or Greater Direct Ownership Interest Feb 27, 2015 100%
Umb Bank National Association Organization, Dallas, TX Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 23, 2021 100%
Sanctuary LTC, LLC Organization, Lewisville, TX LLC, For-profit Adp of the SNF Sep 23, 2021
Derek Skinner Individual Adp of the SNF Sep 1, 2016
Stonegate Senior Living, LP Organization, Lewisville, TX Operational/Managerial Control Jun 22, 2022
Adp of the SNF Dec 5, 2025
Pharmerica Drug Systems LLC Organization, Louisville, KY LLC Adp of the SNF Aug 27, 2017
Preservation Freehold Company Organization, Lewisville, TX Corporation, Non-profit Adp of the SNF Sep 23, 2021

Owners & managing parties with NPI records 25

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

View all 25

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Hansford County HospitalSpearman, TX, CCN 451344 Hospital Other (100%) Sep 15, 2010
Hansford County HospitalSpearman, TX, CCN 45Z344 Hospital Other (100%) Sep 15, 2010
Hansford County Hospital District Dba Lakeridge Rehab and Nursing CentLubbock, TX, CCN 675853 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Mi Casita Nursing and RehabilitationLubbock, TX, CCN 675842 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Hansford HospiceSpearman, TX, CCN 451550 Hospice Operational/Managerial Control (100%) Nov 11, 2013
Family Medical Clinic of Hansford CountySpearman, TX, CCN 458707 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 9, 1996

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Practitioners 5

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 2

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1063461994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 EMORY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79416",
            "telephone_number": "806-740-0800",
            "fax_number": "806-740-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSFORD COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "806-659-2535"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CO B",
            "identifier": "180855201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plaza at Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.