Active NPI
Fannin County Hospital Authority
Doing business as Legend Healthcare and Rehabilitation - Greenville
- Skilled Nursing Facility
- Greenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Doing business as
- Legend Healthcare and Rehabilitation - Greenville
- Practice address
- 2300 Jack Finney Blvd
Greenville, TX 75402-3763 - Phone
- (903) 455-7942
- Fax
- (903) 455-0472
- NPI assigned
- Mar 18, 2016
- Last updated
- Feb 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-2149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | TX | Primary |
Addresses
Primary practice location
2300 Jack Finney Blvd
Greenville, TX 75402-3763
Mailing address
2300 Jack Finney Blvd
Greenville, TX 75402-3763
Phone (903) 455-7942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028700 | Medicaid | TX |
Other names 1
- Legend Healthcare and Rehabilitation - Greenville
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180206002083 | TX | Part A Provider - Skilled Nursing Facility | 6002054764 | Practice locations: Greenville, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114388089. Details of each certification follow.
Skilled nursing facility certification: CCN 675774
- Legal name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Doing business as
- LEGEND OAKS HEALTHCARE AND REHABILITATION-GREENVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 11, 1999
- Last certification
- May 30, 2024
- Beds
- 126
- Ownership / control type
- Corporation
- Organization structure
- Government
- Enrollment address
- 2300 Jack Finney Blvd
Greenville, TX 75402-3763 - Nursing home name
- LEGEND HEALTHCARE AND REHABILITATION - GREENVILLE
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Legend Healthcare and Rehabilitation - Greenville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 11, 1999
- Medicare certification status
- Active
- Certified beds
- 126
- Chain
- The Ensign Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| National Health Investors, Inc. | Adp of the SNF | Apr 29, 2016 | |
| Kevin Niccum | Operational/Managerial Control | Apr 1, 2017 | |
| Managing Control - Governing Body | Apr 1, 2017 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Texas Nhi Investors, LLC | Adp of the SNF | Apr 29, 2016 | |
| Gina S Rushing | Managing Control - Governing Body | Jan 5, 2016 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Ensign Services Inc | Adp of the SNF | Apr 1, 2017 | |
| Jack Finney Healthcare, Inc. | Operational/Managerial Control | Apr 1, 2017 | 100% |
| Clark R Sanderson | Corporate Officer | Oct 29, 2012 | 100% |
| Fannin County Hospital Authority | 5% Or Greater Direct Ownership Interest | Apr 1, 2017 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Greenville, TX
- NPI 1922056845
Adp of the SNF, Managing Control - Governing Body
All facility ownership & control disclosures 55
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| TMC Bonham Hospital | Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 2013 Jan 1, 2013 |
| TMC Bonham Hospital | Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 |
| Reunion Plaza Senior Care and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Heritage Plaza Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at Athens | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Wylie Oaks Healthcare and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| La Dora Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Fannin County Hospital Authority | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Interlochen Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at the Meadow | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Pleasant Springs Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Longmeadow Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| Texoma Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Downtown Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| North Park Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Paris | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Gladewater | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Park Highland Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Ennis Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Avir at Jefferson | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Trucare Living Centers | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Veranda Rehabilitation and Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Trucare Living Center-Selma | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Village Healthcare and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2020 |
| Avir at Walnut Springs | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2020 |
| Avir at Kingsland | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2020 |
| Avir at Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| The Waterton Healthcare and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2022 |
| Harbor Valley Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Levelland Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Bangs Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Pampa Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 |
| Greenview Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Peach Tree Place | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| The Park in Plano | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Lakeshore Village Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Avir at Dallas | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Avir at Weatherford | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Treasure Hills Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Dec 1, 2023 |
| Grand Terrace Rehabilitation and Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| McAllen Transitional Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Alta Vista Rehabilitation and Health | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Cedar Lake Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Trucare Living Centers Columbus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| The Homestead of Denison | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2024 |
| Bluebonnet Point Wellness | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Avir at Citizens Trail | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2024 Jun 1, 2024 |
| Woodlands Place Rehabilitation Suites | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2024 |
| Belterra Health & Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2025 |
| Greenbrier Nursing & Rehabilitation Center of Palestine | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Crossroads Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Countryview Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Windmill Village Rehabilitation & Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| North Star Ranch Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 May 1, 2025 |
| Rockdale Estates & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Avir at Citizens Trail
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1033972427
Fannin County Hospital Authority
-
dba Levelland Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Levelland, TX
- NPI 1063533511
Fannin County Hospital Authority
-
dba Avir at Weatherford
- Skilled Nursing Facility
- Weatherford, TX
- NPI 1073634366
Fannin County Hospital Authority
-
dba Legend Healthcare and Rehabilitation - Paris
- Skilled Nursing Facility
- Paris, TX
- NPI 1093176968
Fannin County Hospital Authority
-
dba Treasure Hills Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Harlingen, TX
- NPI 1104470293
Fannin County Hospital Authority
-
dba Avir at Jefferson
- Skilled Nursing Facility
- Jefferson, TX
- NPI 1124495486
Fannin County Hospital Authority
-
dba Avir at Terrell
- Skilled Nursing Facility
- Terrell, TX
- NPI 1124851456
Fannin County Hospital Authority
-
dba Heritage Plaza Nursing Center
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1134113947
Fannin County Hospital Authority
-
dba Legend Oaks Healthcare and Rehabilitation Center Gladewater
- Skilled Nursing Facility
- Gladewater, TX
- NPI 1144680471
Fannin County Hospital Authority
-
dba La Dora Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Bedford, TX
- NPI 1194166132
Fannin County Hospital Authority
-
dba Bluebonnet Point Wellness
- Skilled Nursing Facility
- Bullard, TX
- NPI 1245070366
Fannin County Hospital Authority
-
dba Bangs Nursing and Rehabilitation
- Skilled Nursing Facility
- Bangs, TX
- NPI 1255452710
Fannin County Hospital Authority
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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1265666036
-
- Family Medicine Physician
- Greenville, TX
- NPI 1922056845
Affiliated clinicians 2
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": "1458259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614297600000",
"number": "1114388089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 JACK FINNEY BLVD",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754023763",
"telephone_number": "903-455-7942",
"fax_number": "903-455-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 JACK FINNEY BLVD",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754023763",
"telephone_number": "903-455-7942",
"fax_number": "903-455-0472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-18",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "949-540-2149"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028700",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113833.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Legend Healthcare and Rehabilitation - Greenville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Legend Healthcare and Rehabilitation - Greenville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, TX
- Family First Home Health and Hospice, LLC (Family First Hospice)
- Family First Home Health, LLC
- Family First Non-Emergency Medical Transportation, LLC
- Family Hospice, LTD. (Gentiva)
- Family Smiles of Greenville, PLLC
- Hirut Faris, AGACNP
- Hassan Farooq, M.D.
- Rachel Fehrenbach, FNP-C
- Fernando M. Siles, MD, PLLC
- Gregory Scott Fields, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.