NPIMap

Organization Active NPI

McCulloch County Hospital District

Doing business as Rising Star Nursing Center

  • Skilled Nursing Facility
  • Rising Star, TX
National Provider Identifier
1396285268
Registry record updated Jun 8, 2017
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
Rising Star Nursing Center
Practice address
411 S Miller St
Rising Star, TX 76471-5214
Phone
(254) 643-6700
Fax
(254) 643-1723
NPI assigned
Feb 27, 2017
Last updated
Jun 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

411 S Miller St
Rising Star, TX 76471-5214

Mailing address

411 S Miller
Rising Star, TX 76471
Phone (254) 643-6700

Other identifiers 1

IdentifierTypeStateIssuer
004327MedicaidTX

Other names 1

  • RISING STAR NURSING CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707001880 TX Part A Provider - Skilled Nursing Facility 6305755901 Practice locations: Rising Star, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396285268. Details of each certification follow.

Skilled nursing facility certification: CCN 675832

Legal name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
RISING STAR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 28, 2000
Last certification
Aug 9, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
GovernmentNon-profit
Enrollment address
411 S Miller St
Rising Star, TX 76471-5214
Nursing home name
RISING STAR NURSING CENTER

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
Rising Star Nursing CenterCCN 675832 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 28, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6034.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Heart of Texas Memorial9 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 11

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

NameRoleSinceShare
JK Neal Realty Organization, Waco, TX LLC, For-profit Adp of the SNF Oct 1, 2016
Kirk Roddie Individual Corporate OfficerBoard Member Jul 1, 2021
Michael Schaffner Individual Corporate OfficerBoard Member Jul 1, 2021
Rising Star Senior Care LLC Organization, Waco, TX LLC, For-profit Operational/Managerial Control Apr 1, 2020
Adp of the SNF Apr 1, 2020
Guyle P Donham Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Michele Derrick Individual Corporate OfficerBoard Member Apr 1, 2017
McCulloch County Hospital District Organization, Brady, TX Adp of the SNF Apr 14, 2025
Gregory Whitten Individual Corporate DirectorAdministrator Jan 3, 2020
Operational/Managerial Control Jan 3, 2020
Adp of the SNF Jan 3, 2020
Joseph a Neal Individual Corporate DirectorMember Apr 1, 2017
Operational/Managerial ControlManager Apr 1, 2017
Adp of the SNF Oct 1, 2016
Terry Keltz Individual Corporate OfficerBoard Member Jul 1, 2017
Timothy S Jones Individual Corporate DirectorCeo Apr 1, 2017
Managing Control - Governing BodyCeo of Hospital District Apr 1, 2017

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
Avir at WacoWaco, TX, CCN 676343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
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.

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 2

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": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1396285268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S MILLER",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "76471",
            "telephone_number": "254-643-6700",
            "fax_number": "254-643-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S MILLER ST",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "764715214",
            "telephone_number": "254-643-6700",
            "fax_number": "254-643-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-06-08",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004327",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISING STAR NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RISING STAR NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rising Star, TX

Sources for this page

Verify at the official NPI Registry.