NPIMap

Organization Active NPI

Eastland Memorial Hospital District

  • Skilled Nursing Facility
  • Abilene, TX
National Provider Identifier
1417259490
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Practice address
3202 S Willis St
Abilene, TX 79605-6650
Phone
(325) 692-6145
Fax
(325) 695-2629
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Ms. Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TX
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

3202 S Willis St
Abilene, TX 79605-6650

Mailing address

304 S Daugherty Ave
Eastland, TX 76448-2609
Phone (940) 626-1287

Other names 1

  • Wisteria Place Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150603000473 TX Part A Provider - Skilled Nursing Facility 3072412725 Practice locations: Abilene, TX

Skilled nursing facility certification: CCN 675593

Legal name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as
WISTERIA PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 1, 1996
Last certification
Jun 26, 2024
Beds
123
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Keystone Care LLC
Organization structure
GovernmentNon-profit
Enrollment address
3202 S Willis St
Abilene, TX 79605-6681
Nursing home name
WISTERIA PLACE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wisteria PlaceCCN 675593
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12380.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $14,069

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Eastland Memorial Hospi38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Wisteria Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Jan 1, 2011
Southern Oaks Healthcare, Inc. Organization, Abilene, TX Corporation Operational/Managerial Control Feb 1, 2015 100%
Adp of the SNF Aug 13, 2025
Eastland Memorial Hospital District Organization, Eastland, TX 5% Or Greater Direct Ownership Interest Feb 1, 2015 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 23, 2010
Stephen C Taylor Individual Corporate OfficerCeo Eastland Memorial Hospital Dist Jul 1, 2025
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Jan 1, 2011
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Jan 1, 2011
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Jan 1, 2011
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Eugene Victor Hudman Individual Operational/Managerial Control Nov 10, 2021
Managing Control - Governing BodyMedical Director Nov 10, 2021
Adp of the SNF Nov 10, 2021
Soon Burnam Individual Corporate OfficerSecretary of Management Company Jan 1, 2011
Eric B Gillis Individual Operational/Managerial ControlAdministrator Jan 1, 2011 100%
Managing Control - Governing BodyAdministrator Jan 1, 2011
Adp of the SNF Jan 1, 2011

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 36

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

FacilityTypeRoleSince
Eastland Memorial HospitalEastland, TX, CCN 671303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 20, 2023
Mar 20, 2023
Eastland Memorial HospitalEastland, TX, CCN 67Z303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 20, 2023
Mar 20, 2023
Northern Oaks Living and Rehabilitation CenterAbilene, TX, CCN 455934 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Avir at CiscoCisco, TX, CCN 675259 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Willowbend Nursing and Rehabilitation Center.Mesquite, TX, CCN 675272 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2015
The WoodlandsEastland, TX, CCN 675001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Golden Acres Living and Rehabilitation CenterDallas, TX, CCN 675081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2015
Heritage Gardens Rehabilitation and HealthcareCarrollton, TX, CCN 675111 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Lake Village Nursing and Rehabilitation CenterLewisville, TX, CCN 675560 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Mesa Springs Healthcare CenterAbilene, TX, CCN 675645 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Westpark Rehabilitation and LivingEuless, TX, CCN 676029 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Carrollton Health and Rehabilitation CenterCarrollton, TX, CCN 675972 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Wellington Rehabilitation and HealthcareTemple, TX, CCN 455637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at Fort WorthFort Worth, TX, CCN 676132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Green Valley Healthcare and Rehabilitation CenterForth Worth, TX, CCN 676161 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Cross Timbers Rehabilitation and Healthcare CenterFlower Mound, TX, CCN 675703 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at ItascaItasca, TX, CCN 675712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2017
Richland Hills Rehabilitation and Healthcare CenterRichland Hills, TX, CCN 455576 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at HillsboroHillsboro, TX, CCN 675096 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2017
Terrell Healthcare CenterTerrell, TX, CCN 675879 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Legend Oaks Healthcare and Rehabilitation - WaxahachieWaxahachie, TX, CCN 676421 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Legend Oaks Healthcare and Rehabilitation - GarlandGarland, TX, CCN 676413 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
The Villages of DallasDallas, TX, CCN 675611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Legend Oaks Healthcare and Rehabilitation - Fort WorthFort Worth, TX, CCN 676426 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Keller Oaks Healthcare CenterKeller, TX, CCN 676023 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Pleasant Manor Healthcare and RehabilitationWaxahachie, TX, CCN 675889 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Crestwood Health and Rehabilitation CenterWills Point, TX, CCN 675597 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
The Oaks at Radford Hills Healthcare CenterAbilene, TX, CCN 675330 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Ridgecrest Retirement and Healthcare CommunityWaco, TX, CCN 455670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Pleasant Valley Healthcare and Rehabilitation CenterGarland, TX, CCN 675305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
McKinney Healthcare and Rehabilitation CenterMcKinney, TX, CCN 675004 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Windsor Rehabilitation and HealthcareTerrell, TX, CCN 675808 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Beacon Harbor Healthcare and RehabilitationRockwall, TX, CCN 675579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Rowlett Health and Rehabilitation CenterRowlett, TX, CCN 455904 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Emh Regional Healthcare ClinicEastland, TX, CCN 673490 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Eastland Memorial HospitalRanger, TX, CCN 678550 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 3

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": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1417259490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S DAUGHERTY AVE",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482609",
            "telephone_number": "940-626-1287",
            "fax_number": "325-695-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S WILLIS ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056650",
            "telephone_number": "325-692-6145",
            "fax_number": "325-695-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wisteria Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wisteria Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.