NPIMap

Organization Active NPI

McCulloch County Hospital District

Doing business as Avir at Waco

  • Skilled Nursing Facility
  • Waco, TX
National Provider Identifier
1376019976
Registry record updated Oct 5, 2025
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
Avir at Waco
Practice address
9101 Panther Way
Waco, TX 76712-8614
Phone
(254) 666-2164
NPI assigned
Oct 22, 2018
Last updated
Oct 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Authorized official

Name
Timothy S Jones
Title
Ceo
Phone
(325) 597-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9101 Panther Way
Waco, TX 76712-8614

Mailing address

9101 Pantherway
Waco, TX 76712-8614
Phone (254) 666-2164

Other names 1

  • Avir at Waco Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181214000015 TX Part A Provider - Skilled Nursing Facility 6305755901 Practice locations: Waco, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376019976. Details of each certification follow.

Skilled nursing facility certification: CCN 676343

Legal name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
AVIR AT WACO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 26, 2013
Last certification
Dec 31, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
GovernmentNon-profit
Incorporated
May 4, 1989 in TX
Enrollment address
9101 Pantherway
Waco, TX 76712-8614
Nursing home name
AVIR AT WACO
Affiliated entity
AVIR HEALTH GROUP

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
Avir at WacoCCN 676343 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 26, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12079.6 residents per day on average
Chain
Avir Health Group116 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Heart of Texas Mem Hosp9 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.

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
Nicholas Schwedock Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Benjamin Johnson Individual Operational/Managerial Control Oct 14, 2024
Adp of the SNF Oct 14, 2024
McCulloch County Hospital District Organization, Waco, TX LLC 5% Or Greater Direct Ownership Interest Dec 1, 2018 100%
Timothy S Jones Individual Corporate DirectorChief Executive Officer Dec 1, 2018
Managing Control - Governing BodyChief Executive Officer Dec 1, 2018

Owners & managing parties with NPI records 9

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
The Lev at San AntonioSan Antonio, TX, CCN 455742 Skilled nursing facility Operational/Managerial Control Apr 1, 2020
Sagecrest Alzheimers Care CenterSan Angelo, TX, CCN 676091 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
May 5, 2025

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 1

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": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1376019976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 PANTHERWAY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128614",
            "telephone_number": "254-666-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PANTHER WAY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128614",
            "telephone_number": "254-666-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-597-2901"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Waco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.