NPIMap

Organization Active NPI

Guadalupe County Hospital Board

  • Skilled Nursing Facility
  • Georgetown, TX
National Provider Identifier
1578956355
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUADALUPE COUNTY HOSPITAL BOARD
Practice address
121 FM 971
Georgetown, TX 78626-4546
Phone
(512) 868-6200
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Penny Wallace
Title
Cfo
Phone
(830) 379-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

121 FM 971
Georgetown, TX 78626-4546

Mailing address

1215 E. Court Street
Seguin, TX 78155
Phone (830) 379-2411

Other identifiers 1

IdentifierTypeStateIssuer
001028617MedicaidTX

Other names 1

  • Park Place Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525000929 TX Part A Provider - Skilled Nursing Facility 5496653842 Practice locations: Georgetown, TX

Skilled nursing facility certification: CCN 675915

Legal name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
PARK PLACE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 24, 2002
Last certification
Dec 12, 2024
Beds
116
Ownership / control type
Corporation
Multi-facility organization
Creative Solutions in Healcare
Organization structure
OtherNon-profit
Enrollment address
121 FM 971
Georgetown, TX 78626-4546
Nursing home name
PARK PLACE CARE CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Park Place Care CenterCCN 675915
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 24, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11694.2 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $114,392

Processed by Care Compare on Aug 1, 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 16

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

NameRoleSinceShare
Malisa a Blake Individual Operational/Managerial Control May 24, 2023
Adp of the SNF May 24, 2023
Georgetown I Enterprises, L.L.C. Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control May 24, 2023
Adp of the SNF Jul 15, 2025
Gary R Blake Individual Operational/Managerial Control May 24, 2023
Adp of the SNF May 24, 2023
Dolores Major Individual Managing Control - Governing BodyVice Chairman Jul 1, 2025
Linda F Huggins Individual Corporate DirectorVP of Accounts Receivable Jul 1, 2025
Jim T Colvin Individual Managing Control - Governing BodyBoard Member Jul 1, 2025
Louis R Ramirez Individual Managing Control - Governing BodyBoard Member Jul 1, 2025
Ronald Humphrey Individual Managing Control - Governing BodyBoard Member Jul 1, 2025
Michael Joseph Gutierrez Individual Adp of the SNF Jul 15, 2025
Guadalupe County Hospital Board Organization, Seguin, TX 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Eric Vordenbaum Individual Managing Control - Governing BodySecretary Jul 1, 2025
James Carlton Lee Individual Managing Control - Governing BodyChairman Jul 1, 2025
James Reyes Individual Managing Control - Governing BodyBoard Member Jul 1, 2025
Zachary Willig Individual Corporate DirectorLicensing Manager Jul 1, 2025
Kody Gann Individual Corporate OfficerChief Financial Officer Jan 1, 2021
Managing Control - Governing BodyChief Financial Officer Jan 1, 2021
Susanne Potter Individual Adp of the SNF Jul 15, 2025

Owners & managing parties with NPI records 2

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

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
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
Sedona Trace Health and Wellness CenterAustin, TX, CCN 676459 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1578956355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E. COURT STREET",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-379-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FM 971",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264546",
            "telephone_number": "512-868-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-379-2411"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001028617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Place Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.