NPIMap

Organization Active NPI

Jack County Hospital District

  • Skilled Nursing Facility
  • Arlington, TX
National Provider Identifier
1376977017
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACK COUNTY HOSPITAL DISTRICT
Practice address
405 Duncan Perry Rd
Arlington, TX 76011-5412
Phone
(817) 649-3366
Fax
(817) 633-3513
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Frank L Beaman
Title
Ceo
Phone
(940) 567-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

405 Duncan Perry Rd
Arlington, TX 76011-5412

Mailing address

405 Duncan Perry Rd
Arlington, TX 76011-5412
Phone (817) 649-3366

Other identifiers 2

IdentifierTypeStateIssuer
001025492MedicaidTX
004852MedicaidTX

Other names 2

  • ARLINGTON RESIDENCE AND REHABILITATION CENTER Doing business as
  • EXTENDED CARE AND REHABILITATION OF ARLINGTON Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141231001740 TX Part A Provider - Skilled Nursing Facility 4587842315 Practice locations: Arlington, TX

Skilled nursing facility certification: CCN 455872

Legal name
JACK COUNTY HOSPITAL DISTRICT
Doing business as
ARLINGTON RESIDENCE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 5, 1990
Last certification
Feb 6, 2025
Beds
118
Ownership / control type
Corporation
Multi-facility organization
Apollo Healthcare
Most recent change of ownership
Sep 30, 2013
Organization structure
GovernmentNon-profit
Enrollment address
405 Duncan Perry Rd
Arlington, TX 76011-5412
Nursing home name
ARLINGTON RESIDENCE AND REHABILITATION CENTER
Affiliated entity
GULF COAST LTC PARTNERS

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arlington Residence and Rehabilitation CenterCCN 455872
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 5, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11872.2 residents per day on average
Chain
Gulf Coast LTC Partners20 facilities in the chain
Penalties (3 years)
7Fines totaling $111,622

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Jack County Hospital District14 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Jack County Hospital District Organization, Jacksboro, TX 5% Or Greater Direct Ownership Interest Sep 30, 2013 100%
Frank L Beaman Individual Corporate DirectorCeo Sep 30, 2013
Peter Jian Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Jamie Perkins Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Arlingtontx LLC Organization, Southlake, TX LLC Operational/Managerial Control Nov 1, 2025
Mary F Pfeifer Individual Operational/Managerial Control Nov 1, 2025
Cassandra L Mistretta Individual Operational/Managerial Control Nov 1, 2025

Owners & managing parties with NPI records 3

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1376977017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 DUNCAN PERRY RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115412",
            "telephone_number": "817-649-3366",
            "fax_number": "817-633-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 DUNCAN PERRY RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115412",
            "telephone_number": "817-649-3366",
            "fax_number": "817-633-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "BEAMAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-567-6633"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025492",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004852",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLINGTON RESIDENCE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARLINGTON RESIDENCE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXTENDED CARE AND REHABILITATION OF ARLINGTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.