NPIMap

Organization Active NPI

Ballinger Memorial Hospital District

  • Skilled Nursing Facility
  • Ballinger, TX
National Provider Identifier
1104025618
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
118303 Issued in TX
Legal business name
BALLINGER MEMORIAL HOSPITAL DISTRICT
Practice address
2001 N 6TH St
Ballinger, TX 76821-2500
Phone
(325) 365-5766
Fax
(325) 365-5449
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Brenda Wimsatt
Title
Director, Corporate Affairs
Phone
(615) 550-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 118303 TX Primary

Addresses

Primary practice location

2001 N 6TH St
Ballinger, TX 76821-2500

Mailing address

2001 N 6TH St
Ballinger, TX 76821-2500
Phone (325) 365-5766

Other identifiers 2

IdentifierTypeStateIssuer
001015186MedicaidTX
67-5614OtherTXMEDICARE SNF

Other names 1

  • Ballinger Healthcare and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220516000889 TX Part A Provider - Skilled Nursing Facility 0042200180 Practice locations: Ballinger, TX

Skilled nursing facility certification: CCN 675614

Legal name
BALLINGER MEMORIAL HOSPITAL DISTRICT
Doing business as
BALLINGER HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 1, 1996
Last certification
Nov 21, 2024
Beds
114
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Creative Solutions in Healthcare
Most recent change of ownership
Apr 1, 2022
Organization structure
GovernmentProprietary
Enrollment address
2001 6TH Street
Ballinger, TX 76821-2500
Nursing home name
BALLINGER HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ballinger Healthcare and Rehabilitation CenterCCN 675614
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11460.0 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0858770Ballinger Healthcare and Rehabilitation Center2001 N 6TH Street, Ballinger, TX 76821Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ballinger Memorial Hospital District7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

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

Locations

2001 N 6th St
Ballinger, TX 76821
Phone (325) 365-5766

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10195/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ballmhd-ac9e1005

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Ballinger Memorial Hospital District Organization, Ballinger, TX For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%
Mike Dankworth Individual Managing Control - Governing BodyPresident Jan 1, 2025
Scott Studer Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Malisa a Blake Individual Operational/Managerial Control Feb 1, 2023
William Hunter Individual Managing Control - Governing BodyVice President Jan 1, 2025
Bradly Bundrant Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Elizabeth Zuniga Individual Managing Control - Governing BodySecretary Jan 1, 2025
Gary R Blake Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Linda F Huggins Individual Corporate DirectorVP of Accounts Receivable Feb 1, 2023
Ballinger II Enterprises, L.L.C. Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control Feb 1, 2023
Adp of the SNF Apr 14, 2025
Holden Hronek Individual Adp of the SNF Apr 14, 2025
Axel Martinez Irizarry Individual Adp of the SNF Apr 14, 2025
Rhett Fricke Individual Corporate OfficerChief Executive Officer Nov 16, 2015
Managing Control - Governing BodyChief Executive Officer Nov 16, 2015
Mark Atwood Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Tyler Reasor Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Zachary Willig Individual Corporate DirectorLicensing Manager Jan 1, 2025

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Ballinger Memorial HospitalBallinger, TX, CCN 451310 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 24, 2008
Ballinger Memorial HospitalBallinger, TX, CCN 45Z310 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1990
Park Plaza Nursing and Rehabilitation CenterSan Angelo, TX, CCN 675982 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
Cedar Manor Nursing and Rehabilitation CenterSan Angelo, TX, CCN 676068 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
Ballinger Hospital ClinicBallinger, TX, CCN 458867 Rural health clinic 5% Or Greater Direct Ownership Interest Nov 1, 2005

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 5

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

Practitioners & affiliated clinicians

Practitioners 7

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

Affiliated clinicians 3

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1104025618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N 6TH ST",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768212500",
            "telephone_number": "325-365-5766",
            "fax_number": "325-365-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N 6TH ST",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768212500",
            "telephone_number": "325-365-5766",
            "fax_number": "325-365-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLINGER MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-01-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "WIMSATT",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR, CORPORATE AFFAIRS",
        "authorized_official_telephone_number": "615-550-9400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015186",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SNF",
            "identifier": "67-5614",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballinger Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ballinger Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballinger, TX

Sources for this page

Verify at the official NPI Registry.