Chambers County Public Hospital District No 1

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

115157 Issued in TX

Legal business name

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1

Practice address

721 W Mulberry
Angleton, TX 77515-4239

Phone

(979) 849-8281

Fax

(979) 849-0249

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Pascasio

Title

Ceo

Phone

(409) 267-3143

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Village Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Skilled nursing facility certification: CCN 675696

Legal name

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Doing business as

COUNTRY VILLAGE CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jul 15, 1997

Last certification

Oct 25, 2024

Beds

136

Ownership / control type

Hospital District

Multi-facility organization

CROSS HEALTHCARE MANAGEMENT

Organization structure

GovernmentNon-profit

Enrollment address

721 W Mulberry St
Angleton, TX 77515-4239

Nursing home name

COUNTRY VILLAGE CARE

Affiliated entity

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Listed as

Country Village CareCCN 675696

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - Hospital district

Certified

Jul 15, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

136112.6 residents per day on average

Chain

Chambers County Public Hospital District No. 17 facilities in the chain

Penalties (3 years)

2Fines totaling $45,378

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Bayside Comm Hosp Radio27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

• Chambers County Public Hospital District #1

  • Federally Qualified Health Center (FQHC)
  • Anahuac, TX
  • NPI 1043580293
  NPD tax ID
• Chambers County Public Hospital District #1

  • Federally Qualified Health Center (FQHC)
  • Winnie, TX
  • NPI 1265205116
  NPD tax ID
• Chambers County Public Hospital District #1

  • Federally Qualified Health Center (FQHC)
  • Anahuac, TX
  • NPI 1942644737
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Webster, TX
  • NPI 1235100058
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Lufkin, TX
  • NPI 1285045914
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Federally Qualified Health Center (FQHC)
  • Dayton, TX
  • NPI 1336738095
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Lufkin, TX
  • NPI 1376061747
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Bartlett, TX
  • NPI 1407992654
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Orange, TX
  • NPI 1437610292
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1538532395
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Medicare Defined Swing Bed Hospital Unit
  • Anahuac, TX
  • NPI 1548452261
  NPD tax ID
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Pasadena, TX
  • NPI 1548721392
  NPD tax ID

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Pallavi Kakulavar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Angleton, TX
  • NPI 1649230087

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 22

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

Facilities with the same owner 22

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

• Chambers County Public Hospital District No 1

  • Critical Access Hospital
  • Anahuac, TX
  • NPI 1174522494

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Webster, TX
  • NPI 1235100058

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Federally Qualified Health Center (FQHC)
  • Dayton, TX
  • NPI 1336738095

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Lufkin, TX
  • NPI 1376061747

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Bartlett, TX
  • NPI 1407992654

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Federally Qualified Health Center (FQHC)
  • Anahuac, TX
  • NPI 1417032343

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Orange, TX
  • NPI 1437610292

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1538532395

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Medicare Defined Swing Bed Hospital Unit
  • Anahuac, TX
  • NPI 1548452261

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Pasadena, TX
  • NPI 1548721392

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • League City, TX
  • NPI 1578048435

  Chambers County Public Hospital District No. 1

  CMS ownership
• Chambers County Public Hospital District No 1

  • Skilled Nursing Facility
  • Trinity, TX
  • NPI 1710435383

  Chambers County Public Hospital District No. 1

  CMS ownership

Practitioners 2

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

• Hilari Beth Berklund, PA-C

  • Physician Assistant
  • Winnie, TX
  • NPI 1376650705
  NPD (past)
• Pallavi Kakulavar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Angleton, TX
  • NPI 1649230087
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pallavi Kakulavar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Angleton, TX
  • NPI 1649230087

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1124087663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154239",
            "telephone_number": "979-849-8281",
            "fax_number": "979-849-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MULBERRY",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154239",
            "telephone_number": "979-849-8281",
            "fax_number": "979-849-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "PASCASIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-267-3143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "115157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "021482702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Village Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Case, RN
• Allison Castator
• Carla Castillo, EIS
• David Allan Cervenka, D.C.
• Chad & Ron'S Advanced Laser Solutions LLC
• Edward L Chang, M.D.
• Charles E Stewart DDS PA
• Brandi Lea Chavez
• Chca Woman'S Hospital, L.P.
• Cynthia Cisneros

• Skilled Nursing Facility in Angleton, TX
• Providers in Angleton, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.

Verify at the official NPI Registry.