NPIMap

Organization Active NPI

Dewitt Medical District

Doing business as Diversicare of Luling

  • Skilled Nursing Facility
  • Luling, TX
National Provider Identifier
1396789491
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
115095 Issued in TX
Legal business name
DEWITT MEDICAL DISTRICT
Doing business as
Diversicare of Luling
Hillcrest Manor Nursing and Rehabilitation
Practice address
208 Maple Street
Luling, TX 78648
Phone
(830) 875-5219
Fax
(830) 875-2919
NPI assigned
Jun 16, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Alma Alexander
Title
Authorized Representative
Phone
(361) 275-0504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 115095 TX Primary

Addresses

Primary practice location

208 Maple Street
Luling, TX 78648

Mailing address

4150 International PLZ Ste 200
Fort Worth, TX 76109-4875
Phone (817) 386-8410

Other identifiers 1

IdentifierTypeStateIssuer
001030462MedicaidTX

Other names 2

  • Diversicare of Luling Doing business as
  • Hillcrest Manor Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190614001050 TX Part A Provider - Skilled Nursing Facility 3072421395 Practice locations: Luling, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396789491. Details of each certification follow.

Skilled nursing facility certification: CCN 675075

Legal name
DEWITT MEDICAL DISTRICT
Doing business as
DIVERSICARE OF LULING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 27, 1992
Last certification
Mar 21, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Diversicare
Most recent change of ownership
Apr 1, 2019
Organization structure
GovernmentNon-profit
Incorporated
Apr 1, 2011 in TX
Enrollment address
208 Maple St
Luling, TX 78648-2164
Nursing home name
DIVERSICARE OF LULING
Affiliated entity
DIVERSICARE HEALTHCARE

Other NPIs with the same Medicare PAC ID 20

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

View all 20

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of LulingCCN 675075 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 27, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6036.2 residents per day on average
Chain
Diversicare Healthcare44 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cuero Community Hosp HH28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Harry Stakes Individual Corporate DirectorDirector Feb 1, 2016
Charles Papacek Individual Corporate OfficerSecretary Oct 1, 1997
Corporate DirectorSecretary Oct 1, 1997
Dewitt Medical District Organization, Cuero, TX 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Amber Williamson Individual W-2 Managing EmployeeAdministrator Apr 1, 2019
Matthew J Weishaar Individual Corporate OfficerSVP Dec 1, 2003
John H Frels Individual Corporate DirectorDirector Nov 4, 2014
Cynthia Sheppard Individual Corporate OfficerVice-Chairman Jun 25, 2013
Corporate DirectorVice-Chairman Jun 25, 2013
Gregory S Pritchett Individual Corporate Officer Aug 29, 1994
Richard Wheeler Individual Corporate OfficerChairman Jul 27, 2010
Corporate DirectorChairman Jul 27, 2010

Owners & managing parties with NPI records 20

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

View all 20

All facility ownership & control disclosures 13

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

FacilityTypeRoleSince
Dewitt Medical DistrictCuero, TX, CCN 450597 Hospital Operational/Managerial Control Feb 1, 2001
Kingsville Nursing and Rehabilitation CenterKingsville, TX, CCN 675815 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Apr 2, 2025
Windsor Nursing and Rehabilitation Center of Corpus ChristiCorpus Christi, TX, CCN 676321 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Apr 3, 2025
Corpus Christi Nursing and Rehabilitation CenterCorpus Christi, TX, CCN 676107 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jan 1, 2015
Jan 1, 2015
May 20, 2025
Jan 1, 2015
Pflugerville Nursing and Rehabilitation CenterPflugerville, TX, CCN 676245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Feb 18, 2015
Feb 28, 2015
Apr 3, 2025
Windsor CalallenCorpus Christi, TX, CCN 676391 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Feb 1, 2016
Feb 1, 2016
Apr 3, 2025
Legend Oaks Healthcare and Rehabilitation-West San AntonioSan Antonio, TX, CCN 676312 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation-San AntonioSan Antonio, TX, CCN 676113 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Sonterra Health CenterSan Antonio, TX, CCN 676158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Parklane West Healthcare CenterSan Antonio, TX, CCN 675509 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Yorktown Nursing and Rehabilitation CenterYorktown, TX, CCN 675071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Lampassas Nursing and Rehabilitation CenterLampasas, TX, CCN 455513 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Yorktown Medical ClinicYorktown, TX, CCN 673451 Rural health clinic Operational/Managerial Control Jul 22, 2013

Owned or controlled facilities with NPI records 13

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

  • Dewitt Medical District

    dba Yorktown Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Yorktown, TX
    • NPI 1255372488

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Dewitt Medical District

    dba Lampasas Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Lampasas, TX
    • NPI 1346281573

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Dewitt Medical District

    dba Windsor Nursing and Rehabilitation Center of Corpus Christi

    • Skilled Nursing Facility
    • Corpus Christi, TX
    • NPI 1407127384

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Cuero Regional Hospital

    • Rural Acute Care Hospital
    • Cuero, TX
    • NPI 1437148020

    Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Yorktown Medical Clinic

    • Rural Health Clinic/Center
    • Yorktown, TX
    • NPI 1821422551

    Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Kingsville Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Kingsville, TX
    • NPI 1841254174

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Corpus Christi Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Corpus Christi, TX
    • NPI 1861442469

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Windsor Calallen

    • Skilled Nursing Facility
    • Corpus Christi, TX
    • NPI 1932596343

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Pflugerville Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Pflugerville, TX
    • NPI 1962735175

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Guadalupe County Hospital Board

    dba Parklane West Healthcare Center

    • Skilled Nursing Facility
    • San Antonio, TX
    • NPI 1235671629

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Guadalupe County Hospital Board

    dba Legend Oaks Healthcare and Rehabilitation Center - San Antonio

    • Skilled Nursing Facility
    • San Antonio, TX
    • NPI 1710348685

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Guadalupe County Hospital Board

    dba Sonterra Health Center

    • Skilled Nursing Facility
    • San Antonio, TX
    • NPI 1801257779

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 13

Facilities with the same owner 13

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

View all 13

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1396789491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094875",
            "telephone_number": "817-386-8410",
            "fax_number": "817-348-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MAPLE STREET",
            "city": "LULING",
            "state": "TX",
            "postal_code": "78648",
            "telephone_number": "830-875-5219",
            "fax_number": "830-875-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "361-275-0504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "115095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001030462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Luling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillcrest Manor Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luling, TX

Sources for this page

Verify at the official NPI Registry.