Organization Active NPI

Clint L Hines Inc

  • Skilled Nursing Facility
  • Newton, TX
National Provider Identifier
1124241955
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
676055 Issued in TX
Legal business name
CLINT L HINES INC
Practice address
405 Shady Acres LN
Newton, TX 75966
Phone
(409) 379-8911
Fax
(409) 379-2851
NPI assigned
Apr 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ross Nathaniel Hines
Title
Administrator
Phone
(409) 379-8911

Practitioners 2

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

Affiliated clinicians 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shady Acres Health & RehabilitationCCN 676055
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 27, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8442.9 residents per day on average
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $144,761

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000490 TX Part A Provider - Skilled Nursing Facility 0345296554 Practice locations: Newton, TX

Skilled nursing facility certification: CCN 676055

Legal name
CLINT L. HINES INC.
Doing business as
SHADY ACRES HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 27, 2005
Last certification
Feb 12, 2025
Beds
84
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 1, 1994 in TX
Enrollment address
405 Shady Acre LN
Shady Acres Health and Rehabilitati
Newton, TX 75966-3816
Nursing home name
SHADY ACRES HEALTH & REHABILITATION

All disclosed owners & managing parties 2

Medicare enrollment files

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

NameRoleSinceShare
Nathan Hines Estate Organization, Apo 5% Or Greater Indirect Ownership Interest Dec 29, 2020 78%
Ross Hines Individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 22%
Corporate OfficerVP Dec 29, 2020
Corporate DirectorVP Dec 29, 2020 22%
W-2 Managing Employee Dec 29, 2020
Operational/Managerial Control Dec 29, 2020

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 676055 TX Primary
Skilled Nursing Facility 314000000X 135824 TX

Addresses

NPPES NPI Registry

Primary practice location

405 Shady Acres LN
Newton, TX 75966

Mailing address

405 Shady Acres LN
Newton, TX 75966
Phone (409) 379-8911

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000445204MedicaidTX

Other names 1

NPPES NPI Registry
  • Shady Acres Health & Rehabilitation Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2023.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1124241955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SHADY ACRES LN",
            "city": "NEWTON",
            "state": "TX",
            "postal_code": "75966",
            "telephone_number": "409-379-8911",
            "fax_number": "409-379-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SHADY ACRES LN",
            "city": "NEWTON",
            "state": "TX",
            "postal_code": "75966",
            "telephone_number": "409-379-8911",
            "fax_number": "409-379-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINT L HINES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-379-8911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "676055",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "135824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000445204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shady Acres Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shady Acres Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, TX

Sources for this page

Verify at the official NPI Registry.