Organization Active NPI

Oakbend Medical Center

Doing business as Champions Healthcare at Willowbrook

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1437933876
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAKBEND MEDICAL CENTER
Doing business as
Champions Healthcare at Willowbrook
Practice address
13500 Breton Ridge St
Houston, TX 77070-5815
Phone
(281) 807-4744
Fax
(281) 807-6626
NPI assigned
Aug 24, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer of Management Company
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

13500 Breton Ridge St
Houston, TX 77070-5815

Mailing address

29222 Rancho Viejo Rd Ste 127
San Juan Capistrano, CA 92675-1049
Phone (949) 487-9500

Other names 1

  • Champions Healthcare at Willowbrook Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321001187 TX Part A Provider - Skilled Nursing Facility 3375593510 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437933876. Details of each certification follow.

Skilled nursing facility certification: CCN 676236

Legal name
OAKBEND MEDICAL CENTER
Doing business as
CHAMPIONS HEALTHCARE AT WILLOWBROOK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 15, 2009
Last certification
Feb 25, 2025
Beds
98
Ownership / control type
Individual
Multi-facility organization
Ensign Services
Organization structure
OtherProprietary
Enrollment address
13500 Breton Ridge St
Houston, TX 77070-5815
Nursing home name
CHAMPIONS HEALTHCARE AT WILLOWBROOK
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Champions Healthcare at WillowbrookCCN 676236 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Sep 15, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9883.1 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $44,335

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
45D1102455Champions Healthcare at Willowbrook13500 Breton Ridge St, Houston, TX 77070Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marshall Lake Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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
Benjamin Thaddeus Agana Individual Operational/Managerial Control Mar 1, 2025
Managing Control - Governing BodyMedical Director Mar 1, 2025
Adp of the SNF Mar 1, 2025
Marshall Lake Healthcare LLC Organization, Houston, TX LLC Operational/Managerial Control Nov 1, 2023
Adp of the SNF Oct 17, 2025
Joseph Freudenberger Individual Corporate OfficerCeo of Oakbend Medical Center Nov 1, 2023
Oakbend Medical Center Organization, Richmond, TX 5% Or Greater Direct Ownership Interest Nov 1, 2023 100%
Holman Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Nov 1, 2023
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 1, 2023
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 21, 2023
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Nov 1, 2023
Sheila Eapen Individual Operational/Managerial ControlAdministrator Nov 1, 2023
Managing Control - Governing BodyAdministrator Nov 1, 2023
Adp of the SNF Nov 1, 2023
Organization, San Juan Capistrano, CA LLC Adp of the SNF Nov 1, 2023
Soon Burnam Individual Corporate OfficerSecretary of Management Company Nov 1, 2023

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 33

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

FacilityTypeRoleSince
Oakbend Medical CenterRichmond, TX, CCN 450330 Hospital Operational/Managerial Control Oct 22, 2007
Oakbend Medical CenterRichmond, TX, CCN 45S330 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2011
Jan 1, 2011
Houston Heights Nursing and Rehabilitation CenterHouston, TX, CCN 676337 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 28, 2015
Feb 28, 2015
Apr 12, 2025
Windsor Quail Valley Post-Acute HealthcareMissouri City, TX, CCN 676371 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 28, 2015
Feb 28, 2015
May 20, 2025
Brenham Nursing and Rehabilitation CenterBrenham, TX, CCN 675799 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Feb 28, 2015
Feb 28, 2015
May 20, 2025
Cambridge Health and Rehabilitation CenterRichmond, TX, CCN 675901 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 23, 2015
Paradigm at First ColonyMissouri City, TX, CCN 455812 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Paradigm at WestburyHouston, TX, CCN 675612 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
The Lev at Town ParkHouston, TX, CCN 455800 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Paradigm at the BrazosRichmond, TX, CCN 675420 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Spjst Rest Home 2Needville, TX, CCN 676298 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Windsor Nursing and Rehabilitation Center of BastropBastrop, TX, CCN 675356 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Mar 31, 2017
Mar 31, 2017
Apr 29, 2025
Paradigm at Woodwind LakesHouston, TX, CCN 675085 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Avir at la GrangeLa Grange, TX, CCN 675277 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Paradigm at the CreekWharton, TX, CCN 455699 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Paradigm at KountzeKountze, TX, CCN 455594 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
The Lev at WinchesterAlvin, TX, CCN 676264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Paradigm at the PinesSilsbee, TX, CCN 675391 Skilled nursing facility Operational/Managerial Control Mar 31, 2017
Paradigm at Bay CityBay City, TX, CCN 455582 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Memorial City Nursing and Rehabilitation CenterHouston, TX, CCN 676258 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Apr 1, 2018
Apr 1, 2018
Apr 10, 2025
S.P.J.S.T. Rest Home 3El Campo, TX, CCN 676396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
S.P.J.S.T. Rest Home 1Taylor, TX, CCN 676290 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Paradigm NorthwestHouston, TX, CCN 455714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Paradigm at SweenySweeny, TX, CCN 675344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Paradigm at Faith MemorialPasadena, TX, CCN 675321 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Robstown Nursing and Rehabilitation CenterRobstown, TX, CCN 455838 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Mar 1, 2023
Mar 1, 2023
May 28, 2025
Starr County Nursing and Transitional CareRio Grande City, TX, CCN 676495 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Mar 1, 2023
Mar 1, 2023
Apr 29, 2025
Paradigm at the OakSchulenburg, TX, CCN 675971 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Harlingen Nursing and Rehabilitation CenterHarlingen, TX, CCN 675606 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Mar 1, 2023
Mar 1, 2023
Apr 10, 2025
Yoakum Nursing and Rehabilitation CenterYoakum, TX, CCN 675736 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Mar 1, 2023
Mar 1, 2023
Mar 1, 2023
Paradigm at KatyKaty, TX, CCN 676064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 1, 2025
Feb 1, 2025
Paradigm at the PrairiesEl Campo, TX, CCN 676040 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Heritage Park of Katy Nursing and RehabilitationKaty, TX, CCN 676221 Skilled nursing facility Operational/Managerial Control Dec 20, 2024

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 4

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 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": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1437933876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 127",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751049",
            "telephone_number": "949-487-9500",
            "fax_number": "949-540-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 BRETON RIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705815",
            "telephone_number": "281-807-4744",
            "fax_number": "281-807-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBEND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champions Healthcare at Willowbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.