Liberty County Hospital District No 1
Organization Active NPI Family Medicine Physician · Liberty, TX
NPI 1528367356 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1528367356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LIBERTY COUNTY HOSPITAL DISTRICT NO 1
- Practice address
- 1353 N Travis
Liberty, TX 77575-3549 - Phone
- (936) 336-7316
- Fax
- (936) 336-2862
- NPI assigned
- Mar 18, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Authorized official
- Name
- Mrs. Rhonda Campbell
- Title
- Ceo
- Phone
- (936) 336-7316
Other NPIs on the same Medicare enrollment 1
Member of 1
Practitioners 30
-
Amanuel Abreha, M.D.
-
Joseph E T Bales, M.D.
-
Mark Ryan Boyle, MD
-
Stace Breland, DO
-
Meredith Gault Brown, M.D.
-
Brett Allen Burnett, M.D.
-
David Chiao, MD
-
Lindsay Fowler Dragos, M.D.
-
Stephanie Dunlop, M.D.
-
Michael Allen Freeto, M.D.
-
Denzil Kenneth Frost, D.O.
-
Nitin Mahajan, M.D.
-
Nicole Elaine Malouf, M.D.
-
Victoria Dianne Manning, FNP-BC
-
Heather Reed, PA-C
-
Nashid Shinthia, M.D.
-
Gregory Taroyan, MD
-
Mark Wilson, MD
-
Syrila Denean Bossert, WHNP
-
Charla Stagg Reid, APRN PNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 38
| Facility | Type | Role | Since |
|---|---|---|---|
| Liberty Dayton Regional Medical Center |
Hospital | Operational/Managerial Control | Oct 1, 2014 |
| Liberty Dayton Regional Medical Center |
Hospital | Operational/Managerial Control | Oct 1, 2014 |
| Cascades at Senior Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| Jefferson Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Nov 30, 2014 Jan 1, 2015 Mar 21, 2025 |
| College Street Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| The Phoenix Post-Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Southland Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Timberwood Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Bremond Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Pine Grove Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Briarcliff Skilled Nursing Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Colonial Pines Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Cass Valley Healthcare Center |
Skilled nursing facility | Operational/Managerial Control (100%) | Apr 1, 2017 |
| Harbor Point Skilled Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| The Heights of Tomball |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| The Heights of Tyler |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at North Houston |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| East View Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mason Creek Transitional Care of Katy |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Copperfield Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Misty Willow Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Northwest Houston |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avalon Place Kirbyville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| The Courtyards at Pasadena |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Bridgecrest Rehabilitation Suites |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| River Pointe of Trinity Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Legacy at Town Creek |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Pasadena Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2022 |
| Whisperwood Nursing & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Vidor Health & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Fairfield Nursing & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Greenbrier Nursing & Rehabilitation Center of Tyler |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Twin Oaks Health & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Caprock Nursing & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Five Points Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Pine Tree Lodge Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Mesa Hills Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| Liberty Dayton Medical Clinic |
Rural health clinic | Operational/Managerial Control | May 4, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160919002678 | TX | Part B Supplier - Clinic/Group Practice | 3678766227 |
Receives reassigned benefits from 27 practitioners 1 other NPI on this enrollment Practice locations: The Woodlands, TX; Liberty, TX |
National Provider Directory
- Part of
- Liberty County Hospital District No1
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Rural Health Clinic/Center | 261QR1300X | |||
| Critical Access Hospital | 282NC0060X |
Addresses
Primary practice location
1353 N Travis
Liberty, TX 77575-3549
Mailing address
1353 N Travis
Liberty, TX 77575-3549
Phone (936) 336-7316
Other names
- LDRMC Profession Services
Other providers in Liberty, TX
- Carissa Kathryn Kruckemeyer
- Jennifer Landaverde
- Liberty County Co-Op
- Liberty County Hospital District No 1
- Liberty County Hospital District No 1
- Liberty County Hospital District No 1
- Liberty County Hospital District No. 1
- Liberty County Hospital District No. 1
- Liberty Dayton Community Hospital
- Liberty Dayton Community Hospital
All providers in Liberty, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.