NPIMap

Organization Active NPI

Memorial Medical Center

Doing business as Golden Creek Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Navasota, TX
National Provider Identifier
1588075964
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEMORIAL MEDICAL CENTER
Doing business as
Golden Creek Healthcare and Rehabilitation Center
Practice address
2100 Dove Crossing LN
Navasota, TX 77868-5247
Phone
(936) 825-4043
Fax
(936) 825-3503
NPI assigned
May 19, 2014
Last updated
Sep 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Jason Anglin
Title
Ceo
Phone
(361) 552-6713

Specialties & licenses 1

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

Addresses

Primary practice location

2100 Dove Crossing LN
Navasota, TX 77868-5247

Mailing address

2100 Dove Crossing LN
Navasota, TX 77868-5247
Phone (936) 825-4043

Other names 1

  • Golden Creek Healthcare and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170626002362 TX Part A Provider - Skilled Nursing Facility 3072403096 Practice locations: Navasota, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588075964. Details of each certification follow.

Skilled nursing facility certification: CCN 676097

Legal name
MEMORIAL MEDICAL CENTER
Doing business as
GOLDEN CREEK HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 14, 2006
Last certification
Apr 11, 2024
Beds
125
Ownership / control type
Corporation
Multi-facility organization
Nexion Health Management
Organization structure
OtherNon-profit
Enrollment address
2100 Dove Crossing Lane
Navasota, TX 77868-5247
Nursing home name
GOLDEN CREEK HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
NEXION HEALTH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Golden Creek Healthcare and Rehabilitation CenterCCN 676097 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 14, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12587.0 residents per day on average
Chain
Nexion Health51 facilities in the chain

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
45D1051153Golden Creek Healthcare and Rehabilitation Center2100 Dove Crossing Lane, Navasota, TX 77868Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Memorial Med Ctr Amb7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2100 Dove Crossing Ln
Navasota, TX 77868
Phone (936) 825-4043

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Nexion Health at Navasota Inc Organization, Sykesville, MD Corporation, Management services company, For-profit Operational/Managerial Control Apr 1, 2017 100%
Meera Riner Individual Operational/Managerial ControlCoo/Secretary Apr 1, 2017
Memorial Medical Center Organization, Navasota, TX Medical provider/supplier 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Roshanda S Thomas Individual Corporate OfficerInterim Ceo Jan 1, 2022
W-2 Managing EmployeeInterim Ceo Jan 1, 2022
John R Fallon Individual Operational/Managerial ControlAssistant Secretary Apr 1, 2017
Daniel Pierce Individual Operational/Managerial ControlCfo of Management Company Mar 16, 2021
Francis Kirley Individual Operational/Managerial ControlPresident/Director Apr 1, 2017
Brian Lee Individual Operational/Managerial ControlAssistant Secretary Apr 1, 2017
William Herdrich Individual Operational/Managerial ControlDirector Apr 1, 2017

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Memorial Medical CenterPort Lavaca, TX, CCN 451356 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Memorial Medical CenterPort Lavaca, TX, CCN 45Z356 Hospital Operational/Managerial Control (100%) Dec 31, 2021
Lavaca Bay Nursing and Rehabilitation CenterPort Lavaca, TX, CCN 676481 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 4, 2020
Mar 4, 2020
Feb 27, 2025
Tuscany VillagePearland, TX, CCN 676201 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1588075964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DOVE CROSSING LN",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778685247",
            "telephone_number": "936-825-4043",
            "fax_number": "936-825-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DOVE CROSSING LN",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778685247",
            "telephone_number": "936-825-4043",
            "fax_number": "936-825-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-552-6713"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Creek Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Navasota, TX

Sources for this page

Verify at the official NPI Registry.