Eastland Memorial Hospital District
Organization Active NPI Skilled Nursing Facility · Cisco, TX
NPI 1306249362 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1306249362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Practice address
- 1404 Front St
Cisco, TX 76437-3636 - Phone
- (817) 339-6177
- Fax
- (817) 339-6178
- NPI assigned
- Oct 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Laban Joseph Wright
- Title
- Ceo
- Phone
- (325) 754-1317
Corporate family (same tax ID) 37
Facilities with the same owner 36
Practitioners 2
-
Robert Charles Deluca, D.O.
-
Eugene Victor Hudman II, M.D.
Affiliated clinicians 4
-
Robert Charles Deluca, D.O.
-
Valerie Kai Deluca, D.O.
-
Eugene Victor Hudman II, M.D.
-
Alan Bart Mickish, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Avir at Cisco
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 1, 1994
- Medicare certification status
- Active
- Certified beds
- 80 · 33.6 residents per day on average
- Chain
- Avir Health Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0722606 | Eastland Memorial Hospital District | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 675259
- Legal name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Doing business as
- AVIR AT CISCO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 1, 1994
- Last certification
- Jul 16, 2024
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Avir Healthcare Group
- Organization structure
- Government · Non-profit
- Enrollment address
- 1404 Front St
Cisco, TX 76437-3636 - Nursing home name
- AVIR AT CISCO
- Affiliated entity
- AVIR HEALTH GROUP
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Mar 1, 2025 | |
| Laban Wright |
Corporate Director |
Nov 10, 2021 | |
| Eastland Memorial Hospital District |
5% Or Greater Direct Ownership Interest | Feb 28, 2015 | 100% |
| Mike Jackson |
Adp of the SNF | Mar 1, 2025 | |
| 1404 Front Street Opco, LLC |
Operational/Managerial Control | Mar 1, 2025 | |
| Nochum Freund |
Operational/Managerial Control | Mar 1, 2025 | |
| 1404 Front Street Property Owner, LLC |
5% Or Greater Security Interest | Mar 1, 2025 | 100% |
| Adp of the SNF | Mar 1, 2025 | ||
| Aaron Travitsky |
Operational/Managerial Control | Mar 1, 2025 | |
| Welltower NNN Group, LLC |
5% Or Greater Security Interest | Mar 1, 2025 | 100% |
| Adp of the SNF | Mar 1, 2025 | ||
| Welltower Op, LLC |
5% Or Greater Security Interest | Mar 1, 2025 | 100% |
| Adp of the SNF | Mar 1, 2025 | ||
| Welltower Inc |
5% Or Greater Security Interest | Mar 1, 2025 | 100% |
| Adp of the SNF | Mar 1, 2025 |
All facility ownership & control disclosures 36
| Facility | Type | Role | Since |
|---|---|---|---|
| Eastland Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 20, 2023 Mar 20, 2023 |
| Eastland Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 20, 2023 Mar 20, 2023 |
| Northern Oaks Living and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| Willowbend Nursing and Rehabilitation Center. |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Wisteria Place |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| The Woodlands |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 28, 2015 |
| Golden Acres Living and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Heritage Gardens Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Lake Village Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mesa Springs Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Westpark Rehabilitation and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Carrollton Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Wellington Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Fort Worth |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Green Valley Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Cross Timbers Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Itasca |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2017 |
| Richland Hills Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Hillsboro |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2017 |
| Terrell Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Legend Oaks Healthcare and Rehabilitation - Waxahachie |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Legend Oaks Healthcare and Rehabilitation - Garland |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| The Villages of Dallas |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Legend Oaks Healthcare and Rehabilitation - Fort Worth |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Keller Oaks Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2019 |
| Pleasant Manor Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
| Crestwood Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
| The Oaks at Radford Hills Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Ridgecrest Retirement and Healthcare Community |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Pleasant Valley Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2022 |
| McKinney Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Windsor Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Beacon Harbor Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Rowlett Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Emh Regional Healthcare Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
| Eastland Memorial Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150529000428 | TX | Part a Provider - Skilled Nursing Facility | 3072412725 | Practice locations: Cisco, TX |
National Provider Directory
- Tax ID family
- Eastland Memorial Hospi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1404 Front St
Cisco, TX 76437-3636
Mailing address
1404 Front St
Cisco, TX 76437-3636
Other names
- Avir at Cisco
Other providers in Cisco, TX
- Jacob Alan Clark
- Kelly Coz Art
- Trinity Faith Dempsey
- Jarred Kristian Donald
- Eastland Memorial Hospital District
- Josie Malinda Escobedo
- Leanna Carol Evans
- Pamela Ann Ezzell
- Jeniffer Lynn Florek
- Lisa Flores
All providers in Cisco, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.