NPIMap

Organization Active NPI

Guadalupe County Hospital Board

  • Skilled Nursing Facility
  • Austin, TX
National Provider Identifier
1457024044
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUADALUPE COUNTY HOSPITAL BOARD
Practice address
8324 Cameron Rd
Austin, TX 78754-3990
Phone
(737) 241-0800
Fax
(737) 241-0801
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Soon Burnam
Title
Authorized Representative
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8324 Cameron Rd
Austin, TX 78754-3990

Mailing address

8324 Cameron Rd
Austin, TX 78754-3990
Phone (737) 241-0800

Other names 1

  • Sedona Trace Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211117001901 TX Part A Provider - Skilled Nursing Facility 5496653842 Practice locations: Austin, TX

Skilled nursing facility certification: CCN 676459

Legal name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
SEDONA TRACE HEALTH AND WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 20, 2018
Last certification
Jun 14, 2024
Beds
119
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Organization structure
GovernmentNon-profit
Enrollment address
8324 Cameron Rd
Austin, TX 78754-3990
Nursing home name
SEDONA TRACE HEALTH AND WELLNESS CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sedona Trace Health and Wellness CenterCCN 676459
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 20, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119113.2 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $11,168

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
45D2152684Sedona Trace Health and Wellness Center8324 Cameron Road, Austin, TX 78754Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Emergency Physicians39 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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Anil Rathi Individual Operational/Managerial Control Jan 14, 2024
Managing Control - Governing BodyMedical Director Jan 14, 2024
Adp of the SNF Jan 14, 2024
Rachael Hurley Individual Operational/Managerial Control Aug 1, 2021
Managing Control - Governing BodyAdministrator Aug 1, 2021
Adp of the SNF Aug 1, 2021
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jun 18, 2021
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Aug 1, 2021
Mustang Ridge Healthcare, Inc. Organization, Austin, TX Corporation Operational/Managerial Control Aug 1, 2021
Adp of the SNF Sep 30, 2025
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Aug 1, 2021
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Aug 1, 2021
Guadalupe County Hospital Board Organization, Seguin, TX 5% Or Greater Direct Ownership Interest Aug 1, 2021 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Kody Gann Individual Corporate OfficerCfo Guadalupe County Hospital Board Aug 1, 2021
Soon Burnam Individual Corporate OfficerSecretary of Management Company Aug 1, 2021

Owners & managing parties with NPI records 1

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

  • Anil Rathi, M.D.
    • Internal Medicine Physician
    • Austin, TX
    • NPI 1215321492

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 28

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

FacilityTypeRoleSince
Guadalupe Regional Medical CenterSeguin, TX, CCN 45T104 Hospital Operational/Managerial Control Jan 1, 1975
Guadalupe Regional Medical CenterSeguin, TX, CCN 450104 Hospital Operational/Managerial Control Jan 1, 1975
Avir at SeguinSeguin, TX, CCN 675641 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Morningside ManorSan Antonio, TX, CCN 455523 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Park Place Care CenterGeorgetown, TX, CCN 675915 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Five Points of PflugervillePflugerville, TX, CCN 675913 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at SchertzSchertz, TX, CCN 676301 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2017
Avir at LulingLuling, TX, CCN 676292 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2017
Granite Mesa Health CenterMarble Falls, TX, CCN 676220 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Courtyard Rehabilitation and Healthcare CenterVictoria, TX, CCN 675766 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
San Marcos Rehabilitation and Healthcare CenterSan Marcos, TX, CCN 675651 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation - KyleKyle, TX, CCN 676272 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation - North AustinAustin, TX, CCN 676238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Guadalupe County Hospital BoardNew Braunfels, TX, CCN 676392 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Hunters Pond Rehabilitation and HealthcareSan Antonio, TX, CCN 676331 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Hays Nursing and Rehabilitation CenterSan Marcos, TX, CCN 455960 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2020
Eden HomeNew Braunfels, TX, CCN 455618 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Trustee of the SNF		 May 1, 2021
May 1, 2021
Northeast Rehabilitation and Healthcare CenterSan Antonio, TX, CCN 455754 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Avir at Bay CityBay City, TX, CCN 455643 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Avir at BellvilleBellville, TX, CCN 676164 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2022
Avir at SealySealy, TX, CCN 676166 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Arbor View Nursing & RehabilitationKerrville, TX, CCN 455724 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 1, 2022
Nov 1, 2022
Nov 1, 2022
Avir at PecosPecos, TX, CCN 675881 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Westover Hills Rehabilitation and HealthcareSan Antonio, TX, CCN 676281 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Avir at LongviewLongview, TX, CCN 455678 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Avir at Cowhorn CreekTexarkana, TX, CCN 675949 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Avir at TexarkanaTexarkana, TX, CCN 676069 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Guadalupe Regional HospiceSeguin, TX, CCN 451541 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1991

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Practitioners 1

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1457024044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543990",
            "telephone_number": "737-241-0800",
            "fax_number": "737-241-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543990",
            "telephone_number": "737-241-0800",
            "fax_number": "737-241-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedona Trace Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.