NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

Doing business as Avir at Groesbeck

  • Skilled Nursing Facility
  • Groesbeck, TX
National Provider Identifier
1104233592
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 Groesbeck
Windsor Healthcare Residence
Practice address
1025 W Yeagua St
Groesbeck, TX 76642-3529
Phone
(254) 729-3366
Fax
(254) 729-3475
NPI assigned
Jul 17, 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 K Byrom
Title
Ceo
Phone
(254) 248-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1025 W Yeagua St
Groesbeck, TX 76642-3529

Mailing address

1025 W Yeagua St
Groesbeck, TX 76642-3529
Phone (254) 729-3366

Other names 2

  • Avir at Groesbeck Doing business as
  • Windsor 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
O20150224000888 TX Part A Provider - Skilled Nursing Facility 7719886282 Practice locations: Groesbeck, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104233592. Details of each certification follow.

Skilled nursing facility certification: CCN 675139

Legal name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
WINDSOR HEALTHCARE RESIDENCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1993
Last certification
Jul 25, 2024
Beds
90
Ownership / control type
Individual
Organization structure
OtherNon-profit
Enrollment address
1025 W Yeagua St
Windsor Healthcare Residence
Groesbeck, TX 76642-3529
Nursing home name
WINDSOR HEALTHCARE RESIDENCE
Affiliated entity
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Windsor Healthcare ResidenceCCN 675139 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9049.5 residents per day on average
Chain
Coryell County Memorial Hospital Authority9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $34,232

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mills County Medical CL39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

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
Brian K Thomas Individual Operational/Managerial Control Oct 1, 2019
Adp of the SNF Oct 1, 2019
TGR Healthcare, LLC Organization, Glen Rose, TX LLC, Management services company Operational/Managerial Control Oct 1, 2019
Adp of the SNF Apr 10, 2025
Individual Adp of the SNF Sep 27, 2023
Individual Adp of the SNF Oct 1, 2019
David Byrom Individual Corporate DirectorChief Executive Officer Oct 1, 2014
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
Western Hills Healthcare ResidenceComanche, TX, CCN 455602 Skilled nursing facility Operational/Managerial Control Oct 1, 2019
The Manor Healthcare ResidenceMexia, TX, CCN 675307 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
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 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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1104233592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W YEAGUA ST",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766423529",
            "telephone_number": "254-729-3366",
            "fax_number": "254-729-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W YEAGUA ST",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766423529",
            "telephone_number": "254-729-3366",
            "fax_number": "254-729-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Groesbeck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor Healthcare Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.