NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

Doing business as Avir at Mexia

  • Skilled Nursing Facility
  • Mexia, TX
National Provider Identifier
1083021570
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
Avir at Mexia
The Manor Healthcare Residence
Practice address
831 Tehuacana Highway
Mexia, TX 76667
Phone
(254) 562-3867
Fax
(254) 729-3475
NPI assigned
Jul 16, 2014
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Mr. David Byrom
Title
Ceo
Phone
(254) 248-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

831 Tehuacana Highway
Mexia, TX 76667

Mailing address

831 Tehuacana Dr
Mexia, TX 76667-2006

Other identifiers 1

IdentifierTypeStateIssuer
004746MedicaidTX

Other names 2

  • Avir at Mexia Doing business as
  • The Manor Healthcare Residence Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150225001272 TX Part A Provider - Skilled Nursing Facility 7719886282 Practice locations: Mexia, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083021570. Details of each certification follow.

Skilled nursing facility certification: CCN 675307

Legal name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
THE MANOR HEALTHCARE RESIDENCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 26, 1994
Last certification
Sep 12, 2024
Beds
66
Ownership / control type
Limited Liability Corporation
Multi-facility organization
TGR Healthcare
Organization structure
OtherNon-profit
Enrollment address
831 Tehuacana Highway
Mexia, TX 76667
Nursing home name
THE MANOR HEALTHCARE RESIDENCE
Affiliated entity
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Manor Healthcare ResidenceCCN 675307 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 26, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6641.1 residents per day on average
Chain
Coryell County Memorial Hospital Authority9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Brian K Thomas Individual Operational/Managerial Control Nov 1, 2019
Adp of the SNF Nov 1, 2019
TGR Healthcare, LLC Organization, Glen Rose, TX LLC, Management services company Operational/Managerial Control Nov 1, 2019
Adp of the SNF Apr 29, 2025
Ricardo L Villa Individual Operational/Managerial Control Nov 1, 2019
Adp of the SNF Nov 1, 2019
Individual Adp of the SNF Nov 1, 2019
David Byrom Individual Corporate DirectorChief Executive Officer Oct 1, 2014
Individual Adp of the SNF Nov 1, 2019
Coryell County Memorial Hospital Authority Organization, Gatesville, TX Operational/Managerial Control Oct 1, 2014

All facility ownership & control disclosures 31

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

FacilityTypeRoleSince
Coryell Health Rehabliving at the MeadowsGatesville, TX, CCN 675886 Skilled nursing facility Operational/Managerial Control Jan 20, 2025
Copperas Hollow Nursing and Rehabilitation CenterCaldwell, TX, CCN 676227 Skilled nursing facility Operational/Managerial Control Jan 1, 2014
Colonial Manor Nursing CenterCleburne, TX, CCN 455631 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Sep 1, 2014
Granbury Rehab & NursingGranbury, TX, CCN 455929 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ivy Creek Wellness & RehabilitationWaco, TX, CCN 455478 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2024
Windsor Healthcare ResidenceGroesbeck, TX, CCN 675139 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Western Hills Healthcare ResidenceComanche, TX, CCN 455602 Skilled nursing facility Operational/Managerial Control Oct 1, 2019
Fairview Healthcare ResidenceFairfield, TX, CCN 675311 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Crestview Heatlhcare ResidenceWaco, TX, CCN 675141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Ft Worth Southwest Nursing CenterFort Worth, TX, CCN 675817 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place ThreeDallas, TX, CCN 675352 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place TwoDallas, TX, CCN 675702 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place OneDallas, TX, CCN 675680 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
West Side Campus of CareWhite Settlement, TX, CCN 455592 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
New Hope ManorCedar Park, TX, CCN 675943 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Gracy Woods II Living CenterAustin, TX, CCN 675914 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Advanced Rehabilitation and Healthcare of AthensAthens, TX, CCN 675424 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Winfield Rehab & NursingCrockett, TX, CCN 675976 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Whitehall Rehab & NursingCrockett, TX, CCN 675624 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Wesley Woods Health & RehabilitationWaco, TX, CCN 676211 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2018
Dec 1, 2018
Ft Worth Wellness & RehabilitationFt Worth, TX, CCN 455457 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Glenview Wellness & RehabilitationRichard Hills, TX, CCN 455494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bedford Wellness & RehabilitationBedford, TX, CCN 455798 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Austin Wellness & RehabilitationAustin, TX, CCN 455799 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bluebonnet Rehab at EnnisEnnis, TX, CCN 675150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2019
Woodway Rehabilitation and Healthcare CenterWaco, TX, CCN 675924 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2020
Apr 22, 2025
Hico Nursing and RehabilitationHico, TX, CCN 675468 Skilled nursing facility Operational/Managerial Control Apr 1, 2022
Hillside Medical LodgeGatesville, TX, CCN 675201 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025
Coryell Home HealthGatesville, TX, CCN 457668 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 24, 1984
Mills County Medical ClinicGoldthwaite, TX, CCN 458530 Rural health clinic Operational/Managerial Control Feb 11, 2010
Coryell Health Medical Clinic MoodyMoody, TX, CCN 678556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 1975

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 2

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 4

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": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1083021570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TEHUACANA DR",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TEHUACANA HIGHWAY",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "76667",
            "telephone_number": "254-562-3867",
            "fax_number": "254-729-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004746",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Mexia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Manor Healthcare Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexia, TX

Sources for this page

Verify at the official NPI Registry.