Active NPI
Concho County Hospital District
Doing business as Heritage Convalescent Center
- Skilled Nursing Facility
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 000403104
- Legal business name
- CONCHO COUNTY HOSPITAL DISTRICT
- Doing business as
- Heritage Convalescent Center
- Practice address
- 1009 Clyde St
Amarillo, TX 79106-4225 - Phone
- (806) 352-5295
- Fax
- (806) 352-6635
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert A Pascasio
- Title
- Ceo
- Phone
- (325) 869-5911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000403104 | TX | Primary |
Addresses
Primary practice location
1009 Clyde St
Amarillo, TX 79106-4225
Mailing address
1009 Clyde St
Amarillo, TX 79106-4225
Phone (806) 352-5295
Other names 1
- Heritage Convalescent Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041018000343 | TX | Part A Provider - Skilled Nursing Facility | 2365402070 | Practice locations: Amarillo, TX |
Skilled nursing facility certification: CCN 455480
- Legal name
- HERITAGE CONVALESCENT CENTER, LTD.
- Doing business as
- HERITAGE CONVALESCENT CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 25, 1983
- Last certification
- Oct 2, 2024
- Beds
- 116
- Ownership / control type
- Corporation
- Organization structure
- Partnership
- Incorporated
- May 10, 1990 in TX
- Enrollment address
- 1009 Clyde Street
Amarillo, TX 79106-4225 - Nursing home name
- HERITAGE CONVALESCENT CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Heritage Convalescent Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 25, 1983
- Medicare certification status
- Active
- Certified beds
- 116
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0690453 | Heritage Convalescent Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stebbins Heritage, Inc. | 5% Or Greater Direct Ownership Interest | Apr 8, 1999 | |
| General Partnership Interest | Apr 8, 1999 | 1% | |
| Operational/Managerial Control | Jan 23, 2025 | ||
| Adp of the SNF | Jan 23, 2025 | ||
| Jennifer Bailey | Operational/Managerial Control | Jul 1, 2018 | |
| Adp of the SNF | Jul 1, 2018 | ||
| Adp of the SNF | Jan 23, 2025 | ||
| Adp of the SNF | Jan 23, 2025 | ||
| Dick and Joilue Stebbins Son's Trust | 5% Or Greater Direct Ownership Interest | Aug 4, 1996 | 34% |
| Limited Partnership Interest | Aug 4, 1996 | 34% | |
| Direct Ownership Interest | Aug 4, 1996 | 34% | |
| Adp of the SNF | Jan 23, 2025 | ||
| Richard Stebbins | 5% Or Greater Direct Ownership Interest | Oct 1, 1998 | 65% |
| Limited Partnership Interest | Oct 1, 1998 | 65% | |
| Managing Control - Governing Body | Oct 1, 1998 | ||
| Adp of the SNF | Oct 1, 1998 | ||
| Direct Ownership Interest | Oct 1, 1998 | 65% |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1306845854
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1700048006
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1861405250
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": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1497745723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 CLYDE ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064225",
"telephone_number": "806-352-5295",
"fax_number": "806-352-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 CLYDE ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064225",
"telephone_number": "806-352-5295",
"fax_number": "806-352-6635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCHO COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "PASCASIO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "325-869-5911"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "000403104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.