NPIMap

Organization Active NPI

McCulloch County Hospital District

Doing business as Sagecrest Alzheimer's Care Center

  • Skilled Nursing Facility
  • San Angelo, TX
National Provider Identifier
1295766798
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
Sagecrest Alzheimer's Care Center
Practice address
438 E Houston Harte Expy
San Angelo, TX 76903-4089
Phone
(325) 655-7391
Fax
(325) 653-1413
NPI assigned
Jul 5, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Jacob K Davis
Title
Cfo
Phone
(325) 792-3990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

438 E Houston Harte Expy
San Angelo, TX 76903-4089

Mailing address

438 E Houston Harte Expy
San Angelo, TX 76903-4089
Phone (325) 655-7391

Other identifiers 1

IdentifierTypeStateIssuer
005414OtherTXTDH CONNECT

Other names 1

  • Sagecrest Alzheimer's Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221025000893 TX Part A Provider - Skilled Nursing Facility 6305755901 Practice locations: San Angelo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295766798. Details of each certification follow.

Skilled nursing facility certification: CCN 676091

Legal name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
SAGECREST ALZHEIMERS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2006
Last certification
Sep 19, 2024
Beds
72
Ownership / control type
Nonprofit Corporation
Multi-facility organization
McCulloch County Hospital District
Most recent change of ownership
Sep 1, 2022
Organization structure
GovernmentNon-profit
Enrollment address
438 E Houston Harte Expy
San Angelo, TX 76903-4089
Nursing home name
SAGECREST ALZHEIMERS CARE CENTER

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sagecrest Alzheimers Care CenterCCN 676091 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7257.7 residents per day on average

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
45D0985735Sagecrest Alzheimers Care Center438 Houston - Harte Expressway, San Angelo, TX 76903Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heart of Texas ER Phys9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2006 Nine Rd
#M
Brady, TX 76825
Phone (915) 597-2901

699 W Campus Dr
Crane, TX 79731
Phone (432) 558-3400

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Daisy Toms Individual Operational/Managerial Control Sep 1, 2022
Adp of the SNF Sep 1, 2022
Baptist Memorials Ministries Organization, San Angelo, TX Management services company, Non-profit Operational/Managerial Control Sep 1, 2022 100%
Adp of the SNF Sep 1, 2022
James C Barnett Individual Corporate DirectorMedical Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
McCulloch County Hospital District Organization, Brady, TX Operational/Managerial Control Oct 1, 2024
Adp of the SNF May 5, 2025
Timothy S Jones Individual Corporate DirectorCeo Sep 1, 2022
Managing Control - Governing BodyCeo of Hospital District Jan 1, 2023

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Focused Care at CraneCrane, TX, CCN 675927 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)		 Jun 1, 2014
Jun 1, 2014
Jun 1, 2014
Avir at ConverseConverse, TX, CCN 675452 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Avir at BurnetBurnet, TX, CCN 675619 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control
Adp of the SNF
Indirect Ownership Interest		 Mar 1, 2015
Jan 17, 2025
Jan 17, 2025
Sep 1, 2017
Rising Star Nursing CenterRising Star, TX, CCN 675832 Skilled nursing facility Adp of the SNF Apr 14, 2025
Avir at WacoWaco, TX, CCN 676343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
The Lev at San AntonioSan Antonio, TX, CCN 455742 Skilled nursing facility Operational/Managerial Control Apr 1, 2020

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 5

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1295766798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E HOUSTON HARTE EXPY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034089",
            "telephone_number": "325-655-7391",
            "fax_number": "325-653-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E HOUSTON HARTE EXPY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034089",
            "telephone_number": "325-655-7391",
            "fax_number": "325-653-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-792-3990"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDH CONNECT",
            "identifier": "005414",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sagecrest Alzheimer's Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sagecrest Alzheimer's Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.