Organization Active NPI

Concho County Hospital District

Doing business as Heritage Convalescent Center

  • Skilled Nursing Facility
  • Amarillo, TX
National Provider Identifier
1497745723
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000403104 Issued in TX
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

Updated by the provider on Jun 17, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
PartnershipProprietary
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 CenterCCN 455480 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 25, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11672.0 residents per day on average

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
45D0690453Heritage Convalescent Center1009 Clyde, Amarillo, TX 79106Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Stebbins Heritage, Inc. Organization, Amarillo, TX Corporation, Owned by another organization or individual 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 Individual Operational/Managerial Control Jul 1, 2018
Adp of the SNF Jul 1, 2018
Organization, Claude, TX Management services company Adp of the SNF Jan 23, 2025
Individual Adp of the SNF Jan 23, 2025
Dick and Joilue Stebbins Son's Trust Organization, Amarillo, TX 5% Or Greater Direct Ownership Interest Aug 4, 1996 34%
Limited Partnership Interest Aug 4, 1996 34%
Direct Ownership Interest Aug 4, 1996 34%
Individual Adp of the SNF Jan 23, 2025
Richard Stebbins Individual 5% Or Greater Direct Ownership Interest Oct 1, 1998 65%
Limited Partnership InterestPresident Oct 1, 1998 65%
Managing Control - Governing BodyPresident 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.

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

Verify at the official NPI Registry.