NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

Doing business as West Side Campus of Care

  • Skilled Nursing Facility
  • White Settlement, TX
National Provider Identifier
1235528894
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
West Side Campus of Care
Practice address
1950 S Las Vegas TRL
White Settlement, TX 76108-3350
Phone
(817) 246-4995
Fax
(817) 246-1025
NPI assigned
Jan 20, 2015
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
David K Byrom
Title
Ceo
Phone
(254) 248-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1950 S Las Vegas TRL
White Settlement, TX 76108-3350

Mailing address

1950 S Las Vegas TRL
White Settlement, TX 76108-3350
Phone (817) 246-4995

Other names 1

  • WEST SIDE CAMPUS OF CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150420002013 TX Part A Provider - Skilled Nursing Facility 7719886282 Practice locations: White Settlement, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235528894. Details of each certification follow.

Skilled nursing facility certification: CCN 455592

Legal name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
WEST SIDE CAMPUS OF CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 15, 1986
Last certification
Jan 16, 2025
Beds
234
Ownership / control type
Corporation
Multi-facility organization
OPCO Skilled Management
Organization structure
GovernmentNon-profit
Enrollment address
1950 S Las Vegas TRL
White Settlement, TX 76108-3350
Nursing home name
WEST SIDE CAMPUS OF CARE
Affiliated entity
OPCO SKILLED MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
West Side Campus of CareCCN 455592 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 15, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
234174.7 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain
Penalties (3 years)
3Fines totaling $31,279

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Coryell County Memorial Hospital Authority39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

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.

NameRoleSinceShare
Continuum Rehab Group LLC Organization, Los Angeles, CA LLC Adp of the SNF Sep 1, 2017
Oregon Realty, LLC Organization, Los Angeles, CA LLC Adp of the SNF Sep 1, 2017
Hansen Hunter LLC Organization, Portland, OR LLC, Consulting firm Operational/Managerial Control Apr 1, 2024
Adp of the SNF Jul 2, 2025
Opco Ca Skilled MGMT Inc. Organization, Los Angeles, CA Corporation Adp of the SNF Sep 1, 2017
Settlement Healthcare, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Sep 1, 2017
Opco Texas Skilled MGMT LLC Organization, Los Angeles, CA LLC Adp of the SNF Sep 1, 2017
David Byrom Individual Corporate OfficerCeo Mar 1, 2015
George Eric Okyere Individual Operational/Managerial Control Jul 15, 2024
Adp of the SNF Jul 15, 2024
1905 Las Vegas Trail, LLC Organization, Los Angeles, CA LLC Adp of the SNF Sep 1, 2017
Coryell County Memorial Hospital Authority Organization, Gatesville, TX 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Gibraltar Trust Organization, Los Angeles, CA Adp of the SNF Sep 1, 2017
David Garetz Individual Operational/Managerial Control Sep 1, 2017
Westside Realty Holdings, LLC Organization, Los Angeles, CA LLC Adp of the SNF Sep 1, 2017
Olawale O Akinmerese Individual Operational/Managerial Control Jul 3, 2005
Adp of the SNF Jul 3, 2005

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 31

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

FacilityTypeRoleSince
Coryell Health Rehabliving at the MeadowsGatesville, TX, CCN 675886 Skilled nursing facility Operational/Managerial Control Jan 20, 2025
Copperas Hollow Nursing and Rehabilitation CenterCaldwell, TX, CCN 676227 Skilled nursing facility Operational/Managerial Control Jan 1, 2014
Colonial Manor Nursing CenterCleburne, TX, CCN 455631 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Sep 1, 2014
Granbury Rehab & NursingGranbury, TX, CCN 455929 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ivy Creek Wellness & RehabilitationWaco, TX, CCN 455478 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2024
Windsor Healthcare ResidenceGroesbeck, TX, CCN 675139 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Western Hills Healthcare ResidenceComanche, TX, CCN 455602 Skilled nursing facility Operational/Managerial Control Oct 1, 2019
The Manor Healthcare ResidenceMexia, TX, CCN 675307 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Fairview Healthcare ResidenceFairfield, TX, CCN 675311 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Crestview Heatlhcare ResidenceWaco, TX, CCN 675141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Ft Worth Southwest Nursing CenterFort Worth, TX, CCN 675817 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place ThreeDallas, TX, CCN 675352 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place TwoDallas, TX, CCN 675702 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place OneDallas, TX, CCN 675680 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
New Hope ManorCedar Park, TX, CCN 675943 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Gracy Woods II Living CenterAustin, TX, CCN 675914 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Advanced Rehabilitation and Healthcare of AthensAthens, TX, CCN 675424 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Winfield Rehab & NursingCrockett, TX, CCN 675976 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Whitehall Rehab & NursingCrockett, TX, CCN 675624 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Wesley Woods Health & RehabilitationWaco, TX, CCN 676211 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2018
Dec 1, 2018
Ft Worth Wellness & RehabilitationFt Worth, TX, CCN 455457 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Glenview Wellness & RehabilitationRichard Hills, TX, CCN 455494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bedford Wellness & RehabilitationBedford, TX, CCN 455798 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Austin Wellness & RehabilitationAustin, TX, CCN 455799 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bluebonnet Rehab at EnnisEnnis, TX, CCN 675150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2019
Woodway Rehabilitation and Healthcare CenterWaco, TX, CCN 675924 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2020
Apr 22, 2025
Hico Nursing and RehabilitationHico, TX, CCN 675468 Skilled nursing facility Operational/Managerial Control Apr 1, 2022
Hillside Medical LodgeGatesville, TX, CCN 675201 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025
Coryell Home HealthGatesville, TX, CCN 457668 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 24, 1984
Mills County Medical ClinicGoldthwaite, TX, CCN 458530 Rural health clinic Operational/Managerial Control Feb 11, 2010
Coryell Health Medical Clinic MoodyMoody, TX, CCN 678556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 1975

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 1

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 1

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": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1235528894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S LAS VEGAS TRL",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761083350",
            "telephone_number": "817-246-4995",
            "fax_number": "817-246-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S LAS VEGAS TRL",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761083350",
            "telephone_number": "817-246-4995",
            "fax_number": "817-246-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SIDE CAMPUS OF CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEST SIDE CAMPUS OF CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Settlement, TX

Sources for this page

Verify at the official NPI Registry.