NPIMap

Organization Active NPI

West Wharton County Hospital District

Doing business as Mesa Vista Inn Health Center

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1346933637
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Doing business as
Mesa Vista Inn Health Center
Practice address
5756 N Knoll
San Antonio, TX 78240-2238
Phone
(210) 321-5200
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
David H Mak
Title
Chief Financial Officer
Phone
(713) 569-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5756 N Knoll
San Antonio, TX 78240-2238

Mailing address

4150 International PLZ Ste 600
Fort Worth, TX 76109-4831
Phone (817) 348-8959

Other names 1

  • Mesa Vista Inn Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925002721 TX Part A Provider - Skilled Nursing Facility 7012384118 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346933637. Details of each certification follow.

Skilled nursing facility certification: CCN 455444

Legal name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Doing business as
MESA VISTA INN HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 7, 1977
Last certification
Jan 31, 2025
Beds
144
Ownership / control type
Corporation
Multi-facility organization
Creative Solutions
Organization structure
OtherProprietary
Enrollment address
5756 N Knoll
San Antonio, TX 78240-2238
Nursing home name
MESA VISTA INN HEALTH CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mesa Vista Inn Health CenterCCN 455444 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 7, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144121.5 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
1Fines totaling $8,160

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
West Wharton County Hospital District104 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Richard Kerzee Individual Managing Control - Governing BodyVice Chairman Sep 24, 2007
Johnny Thompson Individual Corporate OfficerAdministrator Jan 1, 2024
Malisa a Blake Individual Operational/Managerial Control Jul 1, 2023 50%
Patricia a Korenek Individual Managing Control - Governing BodyBoard Member May 5, 2018
Gary R Blake Individual Operational/Managerial Control Jul 1, 2023 50%
Adp of the SNF Jul 1, 2023
Paul Soechting Individual Managing Control - Governing BodyBoard Member Nov 22, 2024
Stephen Cooper Individual Managing Control - Governing BodyChairman Nov 11, 2022
Sean Bowers Individual Managing Control - Governing BodyBoard Member Jul 1, 2024
Linda F Huggins Individual Corporate DirectorV.P. of Accounts Receivable Jul 1, 2023
Rita Adams Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
In Seok Park Individual Adp of the SNF Jan 1, 2025
West Wharton County Hospital District Organization, El Campo, TX For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Joe Strack Individual Managing Control - Governing BodyBoard Member Feb 11, 2022
Travis Cobb Individual Managing Control - Governing BodyTreasurer Oct 5, 2022
Sherrie Hardin Individual Managing Control - Governing BodyBoard Member Sep 4, 2024
Zachary Willig Individual Corporate DirectorLicensing Manager Jan 1, 2025
San Antonio III Enterprises, LLC Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2023 100%
Adp of the SNF Apr 17, 2025
Alfred Cisneros Individual Managing Control - Governing BodySecretary Feb 18, 2008

Owners & managing parties with NPI records 4

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
Kemp Care CenterKemp, TX, CCN 675802 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Twin Pines Nursing and RehabilitationVictoria, TX, CCN 675638 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Franklin Nursing HomeFranklin, TX, CCN 675897 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Honey Grove Nursing CenterHoney Grove, TX, CCN 675066 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023

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 4

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1346933637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-348-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N KNOLL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402238",
            "telephone_number": "210-321-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WHARTON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-569-7370"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Vista Inn Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.