Organization Active NPI

RJ Meridian Care of Hebbronville, LTD

  • Skilled Nursing Facility
  • Hebbronville, TX
National Provider Identifier
1104085422
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RJ MERIDIAN CARE OF HEBBRONVILLE, LTD
Practice address
606 W Gruy St
Hebbronville, TX 78361-3118
Phone
(361) 527-4411
Fax
(361) 527-4571
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Miss Alice Flores
Title
Director of Finance
Phone
(210) 827-5818

Specialties & licenses 1

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

Addresses

Primary practice location

606 W Gruy St
Hebbronville, TX 78361-3118

Mailing address

25009 Oakhurst Dr
Spring, TX 77386-1975
Phone (281) 465-0636

Other identifiers 1

IdentifierTypeStateIssuer
5389MedicaidTX

Other names 1

  • Meridian Care of Hebbronville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081005000001 TX Part A Provider - Skilled Nursing Facility 7719055763 Practice locations: Hebbronville, TX

Skilled nursing facility certification: CCN 675796

Legal name
RJ MERIDIAN CARE OF HEBBRONVILLE, LTD
Doing business as
MERIDIAN CARE OF HEBBRONVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 26, 1999
Last certification
Sep 5, 2024
Beds
60
Ownership / control type
Partnership
Organization structure
PartnershipProprietary
Enrollment address
606 W Gruy St
Hebbronville, TX 78361-3118
Nursing home name
MERIDIAN CARE OF HEBBRONVILLE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meridian Care of HebbronvilleCCN 675796
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
May 26, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6039.4 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $13,065

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
45D2021771Meridian Care of Hebbronville606 West Gruy, Hebbronville, TX 78361Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Locations

25009 Oakhurst Dr
Spring, TX 77386

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
Jay Balentine Individual Limited Partnership Interest Jul 1, 2008 49.5%
Adp of the SNF Jul 1, 2008
Direct Ownership Interest Jul 1, 2008 49.5%
Gilda Lopez Individual Operational/Managerial Control Apr 24, 2024
Adp of the SNF Jan 29, 2025
Andrew Levine Individual Operational/Managerial Control Jul 7, 2015
Adp of the SNF Jan 29, 2025
Breanna Lynn Salinas Individual Operational/Managerial Control Apr 21, 2024
Ramiro G Lozano Individual Limited Partnership InterestPresident Jul 1, 2008 49.5%
Corporate OfficerPresident Jul 1, 2008
Adp of the SNF Dec 30, 2024
Direct Ownership Interest Jul 1, 2008 49.5%
R J Meridian Care Management Company LLC Organization, Spring, TX LLC, Owned by another organization or individual General Partnership Interest Jul 1, 2008 1%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1104085422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25009 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861975",
            "telephone_number": "281-465-0636",
            "fax_number": "281-465-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W GRUY ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "783613118",
            "telephone_number": "361-527-4411",
            "fax_number": "361-527-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ MERIDIAN CARE OF HEBBRONVILLE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "210-827-5818",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5389",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Care of Hebbronville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hebbronville, TX

Sources for this page

Verify at the official NPI Registry.