NPIMap

Organization Active NPI

Guadalupe County Hospital Board

Doing business as Avir at Magnolia

  • Skilled Nursing Facility
  • Luling, TX
National Provider Identifier
1144662990
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
Avir at Magnolia
Magnolia Living & Rehabilitation
Practice address
1105 N Magnolia Ave
Luling, TX 78648-1604
Phone
(830) 875-5606
NPI assigned
Jul 22, 2013
Last updated
Sep 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Kody Gann
Title
Cfo
Phone
(830) 401-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1105 N Magnolia Ave
Luling, TX 78648-1604

Mailing address

1105 N Magnolia Ave
Luling, TX 78648-1604
Phone (830) 875-5606

Other identifiers 1

IdentifierTypeStateIssuer
001026523MedicaidTX

Other names 2

  • Avir at Magnolia Doing business as
  • Magnolia Living & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150224001596 TX Part A Provider - Skilled Nursing Facility 8527963776 Practice locations: Luling, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144662990. Details of each certification follow.

Skilled nursing facility certification: CCN 676044

Legal name
GONZALES HEALTHCARE SYSTEMS
Doing business as
AVIR AT MAGNOLIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 23, 2004
Last certification
Jul 16, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Avir Healthcare
Organization structure
GovernmentNon-profit
Enrollment address
1105 N Magnolia Ave
Luling, TX 78648-1604
Nursing home name
AVIR AT MAGNOLIA
Affiliated entity
AVIR HEALTH GROUP

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avir at MagnoliaCCN 676044 · 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 - Limited Liability company
Certified
Nov 23, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9084.8 residents per day on average
Chain
Avir Health Group116 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $51,320

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Guadalupe Hospital County Board41 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 12

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

NameRoleSinceShare
Brandon Anzaldua Individual Corporate OfficerCeo Aug 1, 2023
1105 N Magnolia Opco, LLC Organization, Jackson, NJ LLC Operational/Managerial Control Mar 1, 2025
1105 N Magnolia Property Owner, LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2025 100%
Adp of the SNF Mar 1, 2025
Nochum Freund Individual Operational/Managerial Control Mar 1, 2025
Aaron Travitsky Individual Operational/Managerial Control Mar 1, 2025
Divonna Perkins Individual Adp of the SNF Mar 1, 2025
Welltower NNN Group, LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2025 100%
Adp of the SNF Mar 1, 2025
Juli Clay Individual Corporate OfficerLegal Compliance Officer May 24, 2001
Welltower Op, LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2025 100%
Adp of the SNF Mar 1, 2025
Gonzales Healthcare Systems Organization, Gonzales, TX Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Welltower Inc Organization, Jackson, NJ Corporation 5% Or Greater Security Interest Mar 1, 2025 100%
Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Mar 1, 2025

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Memorial HospitalGonzales, TX, CCN 450235 Hospital Operational/Managerial Control Jul 15, 2010
The Heights of GonzalesGonzales, TX, CCN 676138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2013
Avir at GonzalesGonzales, TX, CCN 675124 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Memorial Hospital Home Health AgencyGonzales, TX, CCN 457634 Home health agency Other (100%) Jun 1, 1984
Sievers Medical ClinicGonzales, TX, CCN 453456 Rural health clinic Operational/Managerial Control Jul 15, 2010
Sievers Medical Clinic - WaelderWaelder, TX, CCN 453481 Rural health clinic Operational/Managerial Control (100%) Jul 15, 2010
Sievers Medical Clinic - ShinerShiner, TX, CCN 673488 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

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": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1144662990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N MAGNOLIA AVE",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786481604",
            "telephone_number": "830-875-5606",
            "fax_number": "830-672-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N MAGNOLIA AVE",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786481604",
            "telephone_number": "830-875-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "KODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-401-7720"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026523",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Magnolia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Living & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luling, TX

Sources for this page

Verify at the official NPI Registry.