NPIMap

Organization Active NPI

Knopp Nursing & Rehabilitation Center Inc

  • Nursing Facility/Intermediate Care Facility
  • Fredericksburg, TX
National Provider Identifier
1427044585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
114733 Issued in TX
Legal business name
KNOPP NURSING & REHABILITATION CENTER INC
Practice address
202 Billie Dr
Fredericksburg, TX 78624-5056
Phone
(830) 997-8840
Fax
(830) 997-5310
NPI assigned
Sep 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry M Luckenbach, PRESIDENT
Title
Administrator
Phone
(830) 997-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 114733 TX Primary

Addresses

Primary practice location

202 Billie Dr
Fredericksburg, TX 78624-5056

Mailing address

202 Billie Dr
Fredericksburg, TX 78624-5056
Phone (830) 997-8840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000538 TX Part A Provider - Skilled Nursing Facility 6901909845 Practice locations: Fredericksburg, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427044585. Details of each certification follow.

Skilled nursing facility certification: CCN 675740

Legal name
KNOPP NURSING & REHABILITATION CENTER INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 11, 1997
Last certification
Oct 18, 2024
Beds
60
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
202 Billie Dr
Fredericksburg, TX 78624-5056
Nursing home name
KNOPP NURSING & REHAB CENTER INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Knopp Nursing & Rehab Center IncCCN 675740 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 11, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6036.3 residents per day on average
Penalties (3 years)
3Fines totaling $32,094

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Mary Monkhouse Individual 5% Or Greater Direct Ownership Interest May 1, 2023 8.87%
Corporate DirectorBoard Member May 1, 2023 8.87%
John R Kothmann Individual Operational/Managerial Control Apr 27, 2022
Adp of the SNF Apr 27, 2022
Jane I Perry Individual 5% Or Greater Direct Ownership InterestPresident Jan 1, 2013 32.71%
Corporate OfficerPresident Jan 1, 2013 32.71%
Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Jay Luchenbach Individual 5% Or Greater Direct Ownership Interest May 1, 2023 49.54%
Corporate DirectorBoard Member May 1, 2023 49.54%
Chase Perry Individual 5% Or Greater Direct Ownership Interest May 1, 2023 8.87%
Corporate Officer May 1, 2023
Corporate DirectorVice President May 1, 2023 8.87%
Operational/Managerial Control Jan 1, 2013

Owners & managing parties with NPI records 1

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

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 9

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427044585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BILLIE DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245056",
            "telephone_number": "830-997-8840",
            "fax_number": "830-997-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BILLIE DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245056",
            "telephone_number": "830-997-8840",
            "fax_number": "830-997-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOPP NURSING & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCKENBACH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-997-8840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "114733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.