NPIMap

Organization Active NPI

Wilson County Memorial Hospital District

Doing business as Connally Memorial Home Health

  • Home Health Agency
  • Floresville, TX
National Provider Identifier
1306849153
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002830 Issued in TX
Legal business name
WILSON COUNTY MEMORIAL HOSPITAL DISTRICT
Doing business as
Connally Memorial Home Health
Practice address
1303 Hospital Blvd
Floresville, TX 78114-2731
Phone
(830) 393-1540
Fax
(830) 393-1550
NPI assigned
May 24, 2005
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Ms. Nydia Montoya
Title
Alternate Administrator
Phone
(830) 393-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002830 TX Primary

Addresses

Primary practice location

1303 Hospital Blvd
Floresville, TX 78114-2731

Mailing address

1303 Hospital Blvd
Floresville, TX 78114-2731
Phone (830) 393-1540

Other identifiers 2

IdentifierTypeStateIssuer
002830OtherTXHH LICENSE NUMBER
0238321-01MedicaidTX

Other names 1

  • Connally Memorial Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051101000657 TX Part A Provider - Home Health Agency 6204878606 Practice locations: Floresville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306849153. Details of each certification follow.

Home health agency certification: CCN 458056

Legal name
WILSON COUNTY MEMORIAL HOSPITAL DISTRICT
Doing business as
CONNALLY MEMORIAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 27, 1994
Last certification
May 10, 2019
Ownership / control type
Proprietary
Organization structure
OtherNon-profit
Enrollment address
1303 Hospital Blvd
Floresville, TX 78114-2731

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Connally Memorial Home HealthCCN 458056 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 27, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
La Vernia Medical Cente4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1303 Hospital Blvd
Floresville, TX 78114
Phone (210) 271-7266

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Robert W Gillespie Individual Corporate OfficerChief Executive Officer Aug 5, 2024
Corporate DirectorChief Executive Officer Aug 5, 2024
Operational/Managerial ControlCeo Aug 5, 2024
Barbara J Meza Individual Corporate DirectorSenior Accountant Aug 5, 2024
Operational/Managerial ControlSenior Accountant Aug 5, 2024
Wilson County Memorial Hospital District Organization, Floresville, TX Non-profit Operational/Managerial Control Apr 9, 2008
Kyle D Klein Individual Corporate OfficerChief Financial Officer Aug 5, 2024
Operational/Managerial ControlChief Financial Officer Aug 5, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Connally Memorial Medical CenterFloresville, TX, CCN 450108 Hospital Operational/Managerial Control Jul 1, 1966
Connally Memorial Health Centers North CampusFloresville, TX, CCN 673440 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2015
Connally Memorial Health Centers South CampusLa Vernia, TX, CCN 673442 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2015
Connally Memorial Health Centers MainFloresville, TX, CCN 673441 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2015

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1306849153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HOSPITAL BLVD",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142731",
            "telephone_number": "830-393-1540",
            "fax_number": "830-393-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HOSPITAL BLVD",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142731",
            "telephone_number": "830-393-1540",
            "fax_number": "830-393-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNTY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "NYDIA",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "830-393-1544",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HH LICENSE NUMBER",
            "identifier": "002830",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238321-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connally Memorial Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Connally Memorial Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.