NPIMap

Organization Active NPI

Nacogdoches County Hospital District

Doing business as Heritage House of Marshall Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Marshall, TX
National Provider Identifier
1306026729
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Doing business as
Heritage House of Marshall Health & Rehabilitation Center
Practice address
5915 Elysian Fields Road
Marshall, TX 75672-2083
Phone
(903) 935-6700
Fax
(903) 935-6702
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Ronald R Payne
Title
Manager
Phone
(469) 916-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5915 Elysian Fields Road
Marshall, TX 75672-2083

Mailing address

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 568-8523

Other identifiers 1

IdentifierTypeStateIssuer
103421MedicaidTX

Other names 1

  • Heritage House of Marshall Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170817000213 TX Part A Provider - Skilled Nursing Facility 0446151328 Practice locations: Marshall, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306026729. Details of each certification follow.

Skilled nursing facility certification: CCN 676187

Legal name
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Doing business as
HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 10, 2008
Last certification
Jun 26, 2024
Beds
125
Ownership / control type
Individual
Multi-facility organization
Creative Solutions
Organization structure
OtherNon-profit
Enrollment address
5915 Elysian Fields Rd
Heritage House of Marshall Health & Rehabilitation
Marshall, TX 75672-2083
Nursing home name
HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION

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
Heritage House of Marshall Health & RehabilitationCCN 676187 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12566.7 residents per day on average
Penalties (3 years)
1Fines totaling $67,706

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
45D1087194Heritage House of Marshall5915 Elysian Fields Rd, Marshall, TX 75672Certificate of waiverJul 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Deep East Te14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sean Hightower Individual Other Jan 1, 2022 20%
Lisa a King Individual OtherBoard Member Apr 1, 2017 20%
Fred Grover Individual Other Jan 1, 2022 20%
Lynn Lindsey Individual Operational/Managerial ControlAdministrator Jan 1, 2022 100%
Wes McKnight Individual Other Jan 1, 2022 20%
Justin Sowell Individual Other Jan 1, 2022 20%
Southwest LTC Marshall LTD Organization, Plano, TX Management services company, For-profit Operational/Managerial Control Apr 1, 2017 100%
Linda Thurman Individual W-2 Managing Employee Sep 1, 2022 100%

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Nacogdoches Memorial HospitalNacogdoches, TX, CCN 45S508 Hospital Operational/Managerial Control (100%) Jul 1, 2015
Cecil R. Bomar Rehabilitation CenterNacogdoches, TX, CCN 45T508 Hospital Operational/Managerial Control (100%) Mar 11, 2024
Stonecreek Nursing & RehabilitationSan Augustine, TX, CCN 675729 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2017

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 5

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 2

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1306026729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-568-8523",
            "fax_number": "936-568-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 ELYSIAN FIELDS ROAD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756722083",
            "telephone_number": "903-935-6700",
            "fax_number": "903-935-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-916-6100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103421",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House of Marshall Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage House of Marshall Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.