NPIMap

Organization Active NPI

Bellville Hospital District

  • Skilled Nursing Facility
  • Texas City, TX
National Provider Identifier
1417686239
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BELLVILLE HOSPITAL DISTRICT
Practice address
1011 Mainland Center Dr
Texas City, TX 77591-1402
Phone
(713) 358-0700
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Johnny Thompson
Title
Administrator
Phone
(361) 771-6391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1011 Mainland Center Dr
Texas City, TX 77591-1402

Mailing address

44 N Cummings St
Bellville, TX 77418-1347

Other names 1

  • The Shoal Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923000511 TX Part A Provider - Skilled Nursing Facility 7719877356 Practice locations: Texas City, TX

Skilled nursing facility certification: CCN 676360

Legal name
BELLVILLE HOSPITAL DISTRICT
Doing business as
THE SHOAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 30, 2014
Last certification
Apr 25, 2025
Beds
134
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PUREHLTH
Most recent change of ownership
Jul 1, 2022
Organization structure
GovernmentNon-profit
Enrollment address
1011 Mainland Center Dr
Texas City, TX 77591-1402
Nursing home name
THE SHOAL
Affiliated entity
PUREHEALTH

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
The ShoalCCN 676360
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 30, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
134102.7 residents per day on average
Chain
Purehealth8 facilities in the chain

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
45D2078439Shoal, the1011 Mainland Center Drive, Texas City, TX 77591Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Belleville General Hosp8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Johnny Thompson Individual Corporate DirectorAdministrator Nov 1, 2023
Robin L Armstrong Individual Operational/Managerial Control Dec 1, 2014
Adp of the SNF Dec 1, 2014
Siobaughn Fraser Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Organization, Bernalillo, NM LLC, Consulting firm Adp of the SNF Apr 14, 2025
TX NM Operations Holdings LLC Organization, Palm Beach Gardens, FL LLC, Management services company Operational/Managerial Control Jul 1, 2022
Adp of the SNF Apr 14, 2025
Organization, Palm Beach Gardens, FL LLC Adp of the SNF Apr 14, 2025
Organization, Louisville, KY Medical provider/supplier Adp of the SNF May 7, 2025
Lakesia Smith Individual Operational/Managerial Control Jul 15, 2019
Adp of the SNF Jul 15, 2019
Organization, Suffern, NY LLC Adp of the SNF Jul 6, 2022
Robert Campion Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Bellville Hospital District Organization, Bellville, TX 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Dwight Mortgage Trust LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2022 54.83%
Individual Adp of the SNF Jul 1, 2022
Olivia Cedillo Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Avir at BeaumontBeaumont, TX, CCN 455001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Avir at BeevilleBeeville, TX, CCN 455923 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Avir at GolfcrestHouston, TX, CCN 675791 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Avir at GrapevineGrapevine, TX, CCN 675905 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 6

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": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1417686239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N CUMMINGS ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAINLAND CENTER DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911402",
            "telephone_number": "713-358-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLVILLE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-771-6391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shoal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.