NPIMap

Organization Active NPI

Liberty County Hospital District No. 1

Doing business as Avir at Moody

  • Skilled Nursing Facility
  • Fairfield, TX
National Provider Identifier
1124061304
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
102704 Issued in TX
Legal business name
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Doing business as
Avir at Moody
Fairfield Nursing & Rehabilitation Center
Practice address
420 Moody St.
Fairfield, TX 75840-3036
Phone
(903) 389-1236
Fax
(903) 389-1241
NPI assigned
Jun 14, 2006
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Mr. Charles Bruce Stratton
Title
President
Phone
(936) 336-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 102704 TX Primary

Addresses

Primary practice location

420 Moody St.
Fairfield, TX 75840-3036

Mailing address

420 Moody St
Fairfield, TX 75840-3036

Other names 2

  • Avir at Moody Doing business as
  • Fairfield Nursing & 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
O20220630001721 TX Part A Provider - Skilled Nursing Facility 3678766227 Practice locations: Fairfeild, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124061304. Details of each certification follow.

Skilled nursing facility certification: CCN 676123

Legal name
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Doing business as
FAIRFIELD NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 14, 2006
Last certification
Sep 26, 2024
Beds
101
Ownership / control type
Hospital District
Multi-facility organization
Liberty County Hospital District No 1
Organization structure
OtherProprietary
Incorporated
in TX
Enrollment address
420 Moody St
Fairfeild, TX 75840-3036
Nursing home name
FAIRFIELD NURSING & REHABILITATION CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairfield Nursing & Rehabilitation CenterCCN 676123 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Dec 14, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10169.3 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
45D1058277Fairfield Nursing & Rehabilitation Center420 Moody Street, Fairfield, TX 75840Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ldrmc Professional Services41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Malisa a Blake Individual Operational/Managerial ControlMember May 1, 2022 50%
Gary R Blake Individual Operational/Managerial ControlManageing Member May 1, 2022 50%
Adp of the SNF May 1, 2022
Shannon Gardner Individual Managing Control - Governing BodyBoard Member Aug 22, 2022
Charles Bruce Stratton Individual Corporate OfficerPresident May 1, 2005
Managing Control - Governing BodyPresident May 1, 2005
Linda F Huggins Individual Corporate OfficerVP of Accounts Receivable May 1, 2022
Liberty County Hospital District No 1 Organization, Liberty, TX For-profit 5% Or Greater Direct Ownership Interest May 1, 2022 100%
Paul Henry Individual Managing Control - Governing BodyVice President May 9, 2009
Darryl G White Individual Adp of the SNF Apr 11, 2025
Milton Fregia Individual Managing Control - Governing BodySecretary/Treasurer May 7, 2022
Fairfield I Enterprises, LLC Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control May 1, 2022 100%
Adp of the SNF May 1, 2022
Betty Lewis Individual Adp of the SNF Apr 11, 2025
Margaret Gardzina Individual Managing Control - Governing BodyBoard Member Feb 26, 2024
Zachary Willig Individual Corporate DirectorLicensing Manager Jan 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 37

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

FacilityTypeRoleSince
Liberty Dayton Regional Medical CenterLiberty, TX, CCN 451375 Hospital Operational/Managerial Control Oct 1, 2014
Liberty Dayton Regional Medical CenterLiberty, TX, CCN 45Z375 Hospital Operational/Managerial Control Oct 1, 2014
Cascades at Senior RehabPort Arthur, TX, CCN 675541 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Jefferson Nursing and Rehabilitation CenterBeaumont, TX, CCN 676218 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 30, 2014
Jan 1, 2015
Mar 21, 2025
College Street Health Care CenterBeaumont, TX, CCN 675695 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Phoenix Post-AcuteTexas City, TX, CCN 675743 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Southland Rehabilitation and Healthcare CenterLufkin, TX, CCN 675962 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Timberwood Nursing and Rehabilitation CenterLivingston, TX, CCN 455745 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Bremond Nursing and Rehabilitation CenterBremond, TX, CCN 675132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Pine Grove Nursing CenterCenter, TX, CCN 675230 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Briarcliff Skilled Nursing FacilityCarthage, TX, CCN 676051 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Colonial Pines Healthcare CenterSan Augustine, TX, CCN 675358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Cass Valley Healthcare CenterCenterville, TX, CCN 675065 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2017
Harbor Point Skilled NursingTexas City, TX, CCN 675214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Heights of TomballTomball, TX, CCN 676350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Heights of TylerTyler, TX, CCN 676262 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at North HoustonHouston, TX, CCN 676356 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
East View HealthcareHouston, TX, CCN 676081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Mason Creek Transitional Care of KatyKaty, TX, CCN 676194 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Copperfield Healthcare and RehabilitationHouston, TX, CCN 676230 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Misty Willow Healthcare and Rehabilitation CenterHouston, TX, CCN 676251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation-Northwest HoustonHouston, TX, CCN 676137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avalon Place KirbyvilleKirbyville, TX, CCN 675220 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Courtyards at PasadenaPasadena, TX, CCN 676155 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Bridgecrest Rehabilitation SuitesHouston, TX, CCN 676362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
River Pointe of Trinity Healthcare and Rehabilitation CenterTrinity, TX, CCN 675900 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2021
Legacy at Town CreekPalestine, TX, CCN 675998 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Pasadena Post AcutePasadena, TX, CCN 675365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Whisperwood Nursing & Rehabilitation CenterLubbock, TX, CCN 675527 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Vidor Health & Rehabilitation CenterVidor, TX, CCN 676108 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Greenbrier Nursing & Rehabilitation Center of TylerTyler, TX, CCN 675267 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Twin Oaks Health & Rehabilitation CenterJacksonville, TX, CCN 675183 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Caprock Nursing & RehabilitationBorger, TX, CCN 676341 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Five Points Nursing and RehabilitationAmarillo, TX, CCN 676455 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Pine Tree Lodge Nursing CenterLongview, TX, CCN 675177 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Mesa Hills Post AcuteBrownsville, TX, CCN 455423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Liberty Dayton Medical ClinicLiberty, TX, CCN 673428 Rural health clinic Operational/Managerial Control May 4, 2015

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 3

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 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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1124061304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOODY ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758403036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MOODY ST.",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758403036",
            "telephone_number": "903-389-1236",
            "fax_number": "903-389-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COUNTY HOSPITAL DISTRICT NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-336-7422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "102704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Moody",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfield Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, TX

Sources for this page

Verify at the official NPI Registry.