NPIMap

Organization Active NPI

Childress County Hospital District

Doing business as Palo Duro Nursing Home

  • Skilled Nursing Facility
  • Claude, TX
National Provider Identifier
1104221894
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
Palo Duro Nursing Home
Practice address
405 S Collins Street
Claude, TX 79019
Phone
(806) 226-5121
Fax
(806) 226-2495
NPI assigned
Oct 24, 2014
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Holly Holcomb
Title
Ceo
Phone
(940) 937-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

405 S Collins Street
Claude, TX 79019

Mailing address

405 S Collins Street
Claude, TX 79019
Phone (806) 226-5121

Other identifiers 1

IdentifierTypeStateIssuer
004412MedicaidTX

Other names 1

  • PALO DURO NURSING HOME Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150126001158 TX Part A Provider - Skilled Nursing Facility 5193634111 Practice locations: Claude, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104221894. Details of each certification follow.

Skilled nursing facility certification: CCN 455641

Legal name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
PALO DURO NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 19, 1986
Last certification
Jul 30, 2024
Beds
66
Ownership / control type
Corporation
Multi-facility organization
Empower HEalthcare MGt
Organization structure
OtherNon-profit
Enrollment address
405 Collins St
Claude, TX 79019-1854
Nursing home name
PALO DURO NURSING HOME
Affiliated entity
GULF COAST LTC PARTNERS

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palo Duro Nursing HomeCCN 455641 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 19, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6632.0 residents per day on average
Chain
Gulf Coast LTC Partners20 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Childress Regional Medi26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

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
Claudetx LLC Organization, Southlake, TX LLC Operational/Managerial Control Apr 1, 2025
Adp of the SNF Oct 21, 2025
Stoney Gleisner Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Randy L Stewart Individual Operational/Managerial Control Oct 1, 2010
Adp of the SNF Oct 1, 2010
Emilee Stratton Individual Corporate OfficerCfo Mar 18, 2018
Mary F Pfeifer Individual Operational/Managerial Control Apr 1, 2025
Holly Holcomb Individual Corporate OfficerCeo May 29, 2021
Cassandra L Mistretta Individual Operational/Managerial Control Apr 1, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 15

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

FacilityTypeRoleSince
Childress Regional Medical CenterChildress, TX, CCN 450369 Hospital Operational/Managerial Control Dec 29, 1986
Avir at ChildressChildress, TX, CCN 675055 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2014
Prairie House Living CenterPlainview, TX, CCN 675478 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ralls Nursing HomeRalls, TX, CCN 675407 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Apex Secure Care BrownfieldBrownfield, TX, CCN 675019 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Landmark of Amarillo Rehabilitation and Nursing CenterAmarillo, TX, CCN 455675 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Villa Haven Health and Rehabilitation CenterBreckenridge, TX, CCN 675279 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Crowell Nursing CenterCrowell, TX, CCN 675013 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Willowcreek Rehab and NursingAbilene, TX, CCN 675350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Matador Health and Rehabilitation CenterMatador, TX, CCN 676389 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Wellington Care CenterWellington, TX, CCN 675945 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Memphis Convalescent CenterMemphis, TX, CCN 675970 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Childress Regional Medical Center Home HealthChildress, TX, CCN 457489 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 31, 1983
Childress Regional Medical Center HospiceChildress, TX, CCN 451658 Hospice Operational/Managerial Control (100%) Nov 13, 1996
Fox Rural Health ClinicChildress, TX, CCN 453996 Rural health clinic Operational/Managerial Control Jun 25, 2008

Owned or controlled facilities with NPI records 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1104221894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S COLLINS STREET",
            "city": "CLAUDE",
            "state": "TX",
            "postal_code": "79019",
            "telephone_number": "806-226-5121",
            "fax_number": "806-226-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S COLLINS STREET",
            "city": "CLAUDE",
            "state": "TX",
            "postal_code": "79019",
            "telephone_number": "806-226-5121",
            "fax_number": "806-226-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-937-9178"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALO DURO NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO DURO NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claude, TX

Sources for this page

Verify at the official NPI Registry.