Coryell County Memorial Hospital Authority

Organization Active NPI Skilled Nursing Facility · Cleburne, TX

NPI 1588073597 · NPPES record last updated Aug 20, 2026

Key facts

NPI
1588073597
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Practice address
2035 Granbury St
Cleburne, TX 76033-7460
Phone
(817) 645-9134
Fax
(817) 641-4662
NPI assigned
Aug 5, 2014
Organization subpart
No

Authorized official

Name
David K Byrom
Title
Ceo
Phone
(254) 248-6300

Corporate family (same tax ID) 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Facilities with the same owner 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

Practitioners 1

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.

Medicare Care Compare: Nursing home

Listed as
Colonial Manor Nursing Center CCN 455631
Overall star rating
★★★☆☆ 3 of 5
Health inspections
★★☆☆☆ 2 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★★★ 5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 23, 1986
Medicare certification status
Active (Provider of Services file)
Certified beds
137 · 77.6 residents per day on average
Chain
Ruby Healthcare (7 facilities)
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2 · fines totaling $51,594

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Skilled nursing facility certification: CCN 455631

Legal name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
COLONIAL MANOR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 23, 1986
Last certification
Feb 6, 2025
Beds
137
Ownership / control type
Corporation
Organization structure
Other · Non-profit
Enrollment address
2035 Granbury St
Cleburne, TX 76033-7460
Nursing home name
COLONIAL MANOR NURSING CENTER
Affiliated entity
RUBY HEALTHCARE

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Advanced HCS LLC
Organization · Arlington, TX
LLC, Management services company
Operational/Managerial Control Sep 1, 2014
Eliezer Scheiner
Individual
Operational/Managerial Control
Member
Jul 1, 2021 39.5%
Teddy Lichtschein
Individual
Operational/Managerial Control
Member
Jul 1, 2021 39.5%
David Byrom
Individual
Corporate Officer
Ceo
Sep 1, 2014
Corporate Director
Ceo
Sep 1, 2014
W-2 Managing Employee
Ceo
Sep 1, 2014
Operational/Managerial Control
Ceo
Sep 1, 2014
Michael Meisner
Individual
Operational/Managerial Control
Member
Jul 1, 2021 21%
Coryell County Memorial Hospital Authority
Organization · Gatesville, TX
5% Or Greater Indirect Ownership Interest Sep 1, 2014

All facility ownership & control disclosures 31

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coryell Health Rehabliving at the Meadows
Gatesville, TX · CCN 675886
Skilled nursing facility Operational/Managerial Control Jan 20, 2025
Copperas Hollow Nursing and Rehabilitation Center
Caldwell, TX · CCN 676227
Skilled nursing facility Operational/Managerial Control Jan 1, 2014
Granbury Rehab & Nursing
Granbury, TX · CCN 455929
Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ivy Creek Wellness & Rehabilitation
Waco, TX · CCN 455478
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2024
Windsor Healthcare Residence
Groesbeck, TX · CCN 675139
Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Western Hills Healthcare Residence
Comanche, TX · CCN 455602
Skilled nursing facility Operational/Managerial Control Oct 1, 2019
The Manor Healthcare Residence
Mexia, TX · CCN 675307
Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Fairview Healthcare Residence
Fairfield, TX · CCN 675311
Skilled nursing facility Operational/Managerial Control Oct 1, 2014
Crestview Heatlhcare Residence
Waco, TX · CCN 675141
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Ft Worth Southwest Nursing Center
Fort Worth, TX · CCN 675817
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place Three
Dallas, TX · CCN 675352
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place Two
Dallas, TX · CCN 675702
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Brentwood Place One
Dallas, TX · CCN 675680
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
West Side Campus of Care
White Settlement, TX · CCN 455592
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
New Hope Manor
Cedar Park, TX · CCN 675943
Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Gracy Woods II Living Center
Austin, TX · CCN 675914
Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Advanced Rehabilitation and Healthcare of Athens
Athens, TX · CCN 675424
Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Winfield Rehab & Nursing
Crockett, TX · CCN 675976
Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Whitehall Rehab & Nursing
Crockett, TX · CCN 675624
Skilled nursing facility 5% Or Greater Indirect Ownership Interest Apr 1, 2017
Wesley Woods Health & Rehabilitation
Waco, TX · CCN 676211
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2018
Dec 1, 2018
Ft Worth Wellness & Rehabilitation
Ft Worth, TX · CCN 455457
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Glenview Wellness & Rehabilitation
Richard Hills, TX · CCN 455494
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bedford Wellness & Rehabilitation
Bedford, TX · CCN 455798
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Austin Wellness & Rehabilitation
Austin, TX · CCN 455799
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 16, 2018
Bluebonnet Rehab at Ennis
Ennis, TX · CCN 675150
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2019
Woodway Rehabilitation and Healthcare Center
Waco, TX · CCN 675924
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Apr 1, 2020
Apr 22, 2025
Hico Nursing and Rehabilitation
Hico, TX · CCN 675468
Skilled nursing facility Operational/Managerial Control Apr 1, 2022
Hillside Medical Lodge
Gatesville, TX · CCN 675201
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025
Coryell Home Health
Gatesville, TX · CCN 457668
Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 24, 1984
Mills County Medical Clinic
Goldthwaite, TX · CCN 458530
Rural health clinic Operational/Managerial Control Feb 11, 2010
Coryell Health Medical Clinic Moody
Moody, TX · CCN 678556
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 1975

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20141205001400 TX Part a Provider - Skilled Nursing Facility 7719886282 Practice locations: Cleburne, TX

National Provider Directory

Tax ID family
Demetrios Katsaros (39 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

2035 Granbury St
Cleburne, TX 76033-7460

Mailing address

2035 Granbury St
Cleburne, TX 76033-7460
Phone (817) 645-9134

Other identifiers

IdentifierTypeStateIssuer
004525MedicaidTX

Other names

  • Avir at Cleburne Doing business as
  • COLONIAL MANOR NURSING CENTER Doing business as

Other providers in Cleburne, TX

All providers in Cleburne, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.