Organization Active NPI

Uvalde County Hospital Authority

Doing business as Carechoice of Boerne

  • Skilled Nursing Facility
  • Boerne, TX
National Provider Identifier
1417346339
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
139897 Issued in TX
Legal business name
UVALDE COUNTY HOSPITAL AUTHORITY
Doing business as
Carechoice of Boerne
Practice address
200 Ryan St
Boerne, TX 78006-2046
Phone
(830) 249-2594
Fax
(830) 248-1314
NPI assigned
Jan 15, 2015
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Kendall A Broussard
Title
Manager
Phone
(337) 439-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 139897 TX Primary

Addresses

Primary practice location

200 Ryan St
Boerne, TX 78006-2046

Mailing address

200 Ryan St
Boerne, TX 78006-2046
Phone (830) 249-2594

Other identifiers 2

IdentifierTypeStateIssuer
1026618MedicaidTX
4008OtherTXSTATE VENDOR #

Other names 1

  • CARECHOICE OF BOERNE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618000585 TX Part A Provider - Skilled Nursing Facility 7315832722 Practice locations: Boerne, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417346339. Details of each certification follow.

Skilled nursing facility certification: CCN 675678

Legal name
UVALDE COUNTY HOSPITAL AUTHORITY
Doing business as
CARECHOICE OF BOERNE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 11, 1997
Last certification
Nov 22, 2024
Beds
74
Ownership / control type
Corporation
Multi-facility organization
Charleston Health
Organization structure
OtherNon-profit
Enrollment address
200 E Ryan Street
Boerne, TX 78006-2046
Nursing home name
CARECHOICE OF BOERNE
Affiliated entity
CHARLESTON HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carechoice of BoerneCCN 675678 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 11, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7448.5 residents per day on average
Chain
Charleston Healthcare Group4 facilities in the chain
Penalties (3 years)
2Fines totaling $33,937

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0889639Uvalde County Hospital Authority200 E Ryan St, Boerne, TX 78006Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Uvalde Healthcare Clinics45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
John Trenton Sorrells Individual Corporate DirectorMedical Director Feb 1, 2015
Adp of the SNF Feb 1, 2015
Laurie Fuller Individual Indirect Ownership Interest Jun 12, 2024
Alton R Delrie Individual Indirect Ownership Interest Jun 12, 2024
DDF Investments LLC Organization, Prairieville, LA LLC, Investment firm 5% Or Greater Direct Ownership Interest Feb 23, 2015 15%
John Davidson Properties LLC Organization, Denham Springs, LA LLC, Owned by another organization or individual Indirect Ownership Interest Jun 12, 2024
Joshua Davidson Individual Indirect Ownership Interest Jun 12, 2024
Kendall a Broussard Individual 5% Or Greater Indirect Ownership Interest Jun 12, 2024 65%
Robert Fuller Individual Indirect Ownership Interest Jun 12, 2024
Reuben Broussard Individual 5% Or Greater Indirect Ownership Interest Jun 12, 2024 10%
Charleston Boerne Operations LLC Organization, Lake Charles, LA LLC, Management services company Operational/Managerial Control Jun 12, 2024 100%
Adp of the SNF Jul 10, 2025
John Davidson Individual Indirect Ownership Interest Jun 12, 2024
Annette Briley Individual Corporate DirectorDirector of Nursing Jul 29, 2024
Adp of the SNF Jul 29, 2024
Todd R Broussard Individual 5% Or Greater Indirect Ownership Interest Jun 12, 2024 10%
Adam Apolinar Individual Corporate OfficerChief Executive Officer Jul 23, 2015
Adp of the SNF Jul 23, 2015
Zachary Davidson Individual Indirect Ownership Interest Jun 12, 2024
Uvalde County Hospital Authority Organization, Uvalde, TX 5% Or Greater Direct Ownership Interest Feb 23, 2015 100%
Richard Longoria Individual Operational/Managerial Control Nov 14, 2023
Adp of the SNF Nov 14, 2023
Terri Contreras Individual Corporate OfficerChief Financial Officer Apr 29, 2019
Adp of the SNF Apr 29, 2019
Charleston Properties of Boerne LLC Organization, Lake Charles, LA LLC, Real estate investment trust (REIT) Adp of the SNF Jun 12, 2024
L&J Healthcare LLC Organization, Alexandria, LA LLC, Owned by another organization or individual Indirect Ownership Interest Jun 12, 2024

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 41

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

FacilityTypeRoleSince
Uvalde Memorial HospitalUvalde, TX, CCN 451387 Hospital Operational/Managerial Control (100%) Jan 26, 1968
Uvalde Memorial HospitalUvalde, TX, CCN 45Z387 Hospital Operational/Managerial Control (100%) Jan 26, 1968
Avir at CampwoodCamp Wood, TX, CCN 675931 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2014
Briarcliff Nursing and Rehabilitation CenterMcAllen, TX, CCN 675162 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)
Aug 3, 2014
Oct 1, 2018
Apr 16, 2025
Oct 1, 2018
Rockport Nursing and Rehabilitation CenterRockport, TX, CCN 455974 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Aug 3, 2014
Oct 1, 2018
Apr 17, 2025
Avir at SnyderSnyder, TX, CCN 675646 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
Live Oak Nursing and Rehabilitation CenterGeorge West, TX, CCN 675104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 16, 2014
Oct 1, 2018
Apr 16, 2025
Laredo Nursing and Rehabilitation CenterLaredo, TX, CCN 676313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Kirkwood ManorNew Braunfels, TX, CCN 455732 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Hilltop Village Nursing and Rehabilitation CenterKerrville, TX, CCN 455628 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
Laredo South Nursing and Rehabilitation CenterLaredo, TX, CCN 675396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2022
Apr 17, 2025
Windsor Nursing and Rehabilitation Center of San DiegoSan Diego, TX, CCN 675170 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Oct 1, 2022
Oct 1, 2022
Apr 18, 2025
Avir at San KnollSan Antonio, TX, CCN 455804 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Deer Creek Nursing and RehabilitationWimberley, TX, CCN 455917 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
Windsor Nursing and Rehabilitation Center of AliceAlice, TX, CCN 675309 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Oct 1, 2022
Oct 1, 2022
Apr 18, 2025
Laredo West Nursing and Rehabilitation CenterLaredo, TX, CCN 455528 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Oct 1, 2022
Oct 1, 2022
Apr 17, 2025
San Antonio North Nursing and RehabilitationSan Antonio, TX, CCN 455817 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
Silver Creek Nursing and RehabilitationSan Antonio, TX, CCN 455652 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Llano Nursing and Rehabilitation CenterLlano, TX, CCN 675076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
River Hills Health and Rehabilitation CenterKerrville, TX, CCN 676114 Skilled nursing facility Indirect Ownership Interest May 1, 2026
San Pedro ManorSan Antonio, TX, CCN 455689 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021
Memorial Medical Nursing and RehabilitationSan Antonio, TX, CCN 455597 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
Fox Hollow Post AcuteBrownsville, TX, CCN 676398 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
The Heights of BulverdeBulverde, TX, CCN 676418 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Mid Valley Nursing and RehabilitationMercedes, TX, CCN 676414 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
The Heights of AlamoAlamo, TX, CCN 676441 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Rosewood HeightsKilleen, TX, CCN 455503 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Harker Heights Nursing & RehabilitationHarker Heights, TX, CCN 675909 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Hill Country HeightsCopperas Cove, TX, CCN 675536 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Hidalgo Nursing and Rehabilitation CenterEdinburg, TX, CCN 676346 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jun 1, 2022
Jun 1, 2022
May 19, 2025
Carriage House ManorSulphur Springs, TX, CCN 675181 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
The Heights of League CityLeague City, TX, CCN 676153 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Ridgewood at the WoodlandsThe Woodlands, TX, CCN 675739 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Kingwood Rehabilitation and Healthcare CenterKingwood, TX, CCN 676160 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
The Heights at Medical CenterSan Antonio, TX, CCN 675890 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Avir at San AngeloSan Angelo, TX, CCN 676100 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Avir at Dripping SpringsDripping Springs, TX, CCN 675980 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
The Heights of MagnoliaMagnolia, TX, CCN 745058 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2025
St. Juanita Retirement and RehabSan Angelo, TX, CCN 745060 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Uvalde HospiceUvalde, TX, CCN 451675 Hospice 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1997
Sage Family Medicine AssociatesUvalde, TX, CCN 453936 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024

Facilities with the same owner 39

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

View all 39

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": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1417346339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RYAN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062046",
            "telephone_number": "830-249-2594",
            "fax_number": "830-248-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RYAN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062046",
            "telephone_number": "830-249-2594",
            "fax_number": "830-248-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVALDE COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-439-6600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "139897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026618",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE VENDOR #",
            "identifier": "4008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARECHOICE OF BOERNE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.