Active NPI
PH Ops of Arlington LLC
Doing business as Pure Health Transitional Care at THR Arlington
- Skilled Nursing Facility
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PH OPS OF ARLINGTON LLC
- Doing business as
- Pure Health Transitional Care at THR Arlington
- Practice address
- 800 W Randol Mill Rd FL 6
Arlington, TX 76012-2504 - Phone
- (682) 276-8700
- NPI assigned
- May 13, 2022
- 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
- Ms. Siobaughn Fraser
- Title
- Director of Finance
- Phone
- (561) 801-4235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
800 W Randol Mill Rd FL 6
Arlington, TX 76012-2504
Mailing address
2000 Pga Blvd Ste 3230
Palm Beach Gardens, FL 33408-2718
Phone (561) 801-4235
Other names 1
- Pure Health Transitional Care at THR Arlington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220826001552 | CO | Part A Provider - Skilled Nursing Facility | 5698159549 | Practice locations: Arlington, TX |
Skilled nursing facility certification: CCN 676407
- Legal name
- PH OPS OF ARLINGTON LLC
- Doing business as
- PURE HEALTH TRANSITIONAL CARE AT THR ARLINGTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 18, 2016
- Last certification
- May 15, 2025
- Beds
- 54
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- MCOA
- Most recent change of ownership
- Jul 1, 2022
- Organization structure
- LLC
- Incorporated
- Jul 28, 2021 in DE
- Enrollment address
- 800 W Randol Mill Rd
FL 6
Arlington, TX 76012-2504 - Nursing home name
- PUREHEALTH TRANSITIONAL CARE AT THR ARLINGTON
- Affiliated entity
- PUREHEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Purehealth Transitional Care at THR Arlington
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 18, 2016
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- Purehealth
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 45D2111312 | Pure Health Transitional Care at | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Adp of the SNF | May 6, 2025 | ||
| Eli Gottesman | Indirect Ownership Interest | May 25, 2022 | 4.88% |
| Harish Muniswamy | Operational/Managerial Control | Aug 18, 2023 | |
| Adp of the SNF | Aug 18, 2023 | ||
| Helene Gottesman | Indirect Ownership Interest | May 25, 2022 | 4.88% |
| Siobaughn Fraser | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| Talia Gottesman | Indirect Ownership Interest | May 25, 2022 | 4.88% |
| Indirect Ownership Interest | May 25, 2022 | 4.88% | |
| Yaffa Gottesman | Indirect Ownership Interest | May 25, 2022 | 4.88% |
| Kevin Bell | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 11% |
| Corporate Officer | Jul 1, 2022 | 11% | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Zipora Gottesman | Indirect Ownership Interest | May 25, 2022 | 4.87% |
| PH Ops of Arlington LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 100% |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Kccj1 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 11% |
| Adp of the SNF | Apr 14, 2025 | ||
| Lbei Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 50% |
| Jeanette Dixon | Operational/Managerial Control | Nov 1, 2024 | |
| Adp of the SNF | Nov 1, 2024 | ||
| Bgaf Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 25, 2022 | 39% |
| Robert Campion | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 50% |
| Corporate Officer | Jul 1, 2022 | 50% | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Dwight Mortgage Trust LLC | 5% Or Greater Mortgage Interest | Jul 1, 2022 | |
| Texas Health Arlington Memorial Hospital | Adp of the SNF | Jan 23, 2001 | |
| TX Act Op Holdings LLC | 5% Or Greater Direct Ownership Interest | May 19, 2022 | 100% |
| Soroush Behnam | Operational/Managerial Control | Mar 1, 2016 | |
| Adp of the SNF | Mar 1, 2016 | ||
| Ava Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| Sara Waddell | Operational/Managerial Control | Oct 13, 2021 | |
| Adp of the SNF | Oct 13, 2021 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Boruch Gottesman | Direct Ownership Interest | May 25, 2022 | |
| Indirect Ownership Interest | May 25, 2022 | 4.88% |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1710908744
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1205939337
Adp of the SNF, Operational/Managerial Control
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
Adp of the SNF
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Denton Village by PureHealth
- Skilled Nursing Facility
- Denton, TX
- NPI 1407673023
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Lake Forest Village by PureHealth
- Skilled Nursing Facility
- Denton, TX
- NPI 1720805336
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba The Brightpointe
- Skilled Nursing Facility
- Conroe, TX
- NPI 1447997895
Bgaf Holdings LLC, Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Pure Health Transitional Care at Texas Health Presbyterian
- Skilled Nursing Facility
- Dallas, TX
- NPI 1790422822
Bgaf Holdings LLC, Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Princeton Health & Rehabilitation
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1578344818
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Manzano Del Sol by PureHealth
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1568289171
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Las Estancias by Pure Health
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1700523750
Bgaf Holdings LLC, Kccj1 Holdings LLC, Lbei Holdings LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1710908744
Affiliated clinicians 2
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": "1652400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1548907314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PGA BLVD STE 3230",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334082718",
"telephone_number": "561-801-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W RANDOL MILL RD FL 6",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122504",
"telephone_number": "682-276-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PH OPS OF ARLINGTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-13",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "FRASER",
"authorized_official_first_name": "SIOBAUGHN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "561-801-4235",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pure Health Transitional Care at THR Arlington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.