NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

Doing business as Hillside Medical Lodge

  • Skilled Nursing Facility
  • Gatesville, TX
National Provider Identifier
1427345347
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
Hillside Medical Lodge
Practice address
300 S Highway 36 Byp N
Gatesville, TX 76528-2764
Phone
(254) 865-8275
Fax
(254) 865-6344
NPI assigned
Jun 29, 2011
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
David Byrom
Title
Ceo
Phone
(254) 248-6245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

300 S Highway 36 Byp N
Gatesville, TX 76528-2764

Mailing address

300 S Highway 36 Byp N
Gatesville, TX 76528-2764
Phone (254) 865-7575

Other names 1

  • Hillside Medical Lodge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905001661 TX Part A Provider - Skilled Nursing Facility 7719886282 Practice locations: Gatesville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427345347. Details of each certification follow.

Skilled nursing facility certification: CCN 675201

Legal name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
HILLSIDE MEDICAL LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 16, 1993
Last certification
Aug 13, 2024
Beds
128
Ownership / control type
Corporation
Multi-facility organization
Foursquare Healthcare
Organization structure
GovernmentNon-profit
Enrollment address
300 S Highway 36 Byp N
Gatesville, TX 76528-2764
Nursing home name
HILLSIDE MEDICAL LODGE
Affiliated entity
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hillside Medical LodgeCCN 675201 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 16, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128111.3 residents per day on average
Chain
Coryell County Memorial Hospital Authority9 facilities in the chain
Ownership change
Changed ownership in the last 12 months

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
45D0722807Hillside Medical Lodge300 S Highway 36 Bypass, Gatesville, TX 76528Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Coryell County Memorial Hospital Authority39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Member of 1

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

Locations

4311 Oak Lawn Ave
Ste 400
Dallas, TX 75219

110 Chicktown Rd
Gatesville, TX 76528
Phone (254) 404-2500

402 E Main St
Gatesville, TX 76528
Phone (254) 248-6380

1510 Hanna Valley Rd
Goldthwaite, TX 76844
Phone (325) 648-2263

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
SDL GS 5X5 Trust Organization, Rockwall, TX Adp of the SNF Aug 1, 2025
Maureen Collins Individual Adp of the SNF Aug 1, 2025
Gatesville NH Realty LTD Organization, Rockwall, TX Adp of the SNF Aug 1, 2025
Campbell GS-Trust Organization, Rockwall, TX Adp of the SNF Aug 1, 2025
Montague NH, LP Organization, Rockwall, TX Adp of the SNF Aug 1, 2025
Shane Delbert Lewis Individual Operational/Managerial Control Aug 1, 2025
Jeffery C Bates Individual Adp of the SNF Aug 1, 2025
Uptown FS LLC Organization, Rockwall, TX LLC Operational/Managerial Control Aug 1, 2025
David Byrom Individual Corporate DirectorCeo Aug 1, 2025
Coryell County Memorial Hospital Authority Organization, Gatesville, TX 5% Or Greater Direct Ownership Interest Aug 1, 2025 100%

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 31

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

FacilityTypeRoleSince
Coryell Health Rehabliving at the MeadowsGatesville, TX, CCN 675886 Skilled nursing facility Operational/Managerial Control Jan 20, 2025
Copperas Hollow Nursing and Rehabilitation CenterCaldwell, TX, CCN 676227 Skilled nursing facility Operational/Managerial Control Jan 1, 2014
Colonial Manor Nursing CenterCleburne, TX, CCN 455631 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Sep 1, 2014
Granbury Rehab & NursingGranbury, TX, CCN 455929 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ivy Creek Wellness & RehabilitationWaco, TX, CCN 455478 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2024
Windsor Healthcare ResidenceGroesbeck, TX, CCN 675139 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Western Hills Healthcare ResidenceComanche, TX, CCN 455602 Skilled nursing facility Operational/Managerial Control Oct 1, 2019
The Manor Healthcare ResidenceMexia, TX, CCN 675307 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Fairview Healthcare ResidenceFairfield, TX, CCN 675311 Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Crestview Heatlhcare ResidenceWaco, TX, CCN 675141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Ft Worth Southwest Nursing CenterFort Worth, TX, CCN 675817 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place ThreeDallas, TX, CCN 675352 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place TwoDallas, TX, CCN 675702 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place OneDallas, TX, CCN 675680 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
West Side Campus of CareWhite Settlement, TX, CCN 455592 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
New Hope ManorCedar Park, TX, CCN 675943 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Gracy Woods II Living CenterAustin, TX, CCN 675914 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Advanced Rehabilitation and Healthcare of AthensAthens, TX, CCN 675424 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Winfield Rehab & NursingCrockett, TX, CCN 675976 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Whitehall Rehab & NursingCrockett, TX, CCN 675624 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Wesley Woods Health & RehabilitationWaco, TX, CCN 676211 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2018
Dec 1, 2018
Ft Worth Wellness & RehabilitationFt Worth, TX, CCN 455457 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Glenview Wellness & RehabilitationRichard Hills, TX, CCN 455494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bedford Wellness & RehabilitationBedford, TX, CCN 455798 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Austin Wellness & RehabilitationAustin, TX, CCN 455799 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bluebonnet Rehab at EnnisEnnis, TX, CCN 675150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2019
Woodway Rehabilitation and Healthcare CenterWaco, TX, CCN 675924 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2020
Apr 22, 2025
Hico Nursing and RehabilitationHico, TX, CCN 675468 Skilled nursing facility Operational/Managerial Control Apr 1, 2022
Coryell Home HealthGatesville, TX, CCN 457668 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 24, 1984
Mills County Medical ClinicGoldthwaite, TX, CCN 458530 Rural health clinic Operational/Managerial Control Feb 11, 2010
Coryell Health Medical Clinic MoodyMoody, TX, CCN 678556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 1975

Facilities with the same owner 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 83

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.

View all 83

Affiliated clinicians 4

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": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1427345347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HIGHWAY 36 BYP N",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282764",
            "telephone_number": "254-865-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HIGHWAY 36 BYP N",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282764",
            "telephone_number": "254-865-8275",
            "fax_number": "254-865-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Medical Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.