NPIMap

Organization Active NPI

West Coke County Hospital District

Doing business as Willow Creek Lodge

  • Skilled Nursing Facility
  • Tomball, TX
National Provider Identifier
1598378796
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST COKE COUNTY HOSPITAL DISTRICT
Doing business as
Willow Creek Lodge
Practice address
11830 Northpointe Blvd
Tomball, TX 77377-5536
Phone
(281) 205-9400
Fax
(281) 516-2540
NPI assigned
Aug 26, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Houston McGuire
Title
Administrator
Phone
(325) 453-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11830 Northpointe Blvd
Tomball, TX 77377-5536

Mailing address

11830 Northpointe Blvd
Tomball, TX 77377-5536
Phone (281) 205-9400

Other names 1

  • Willow Creek Lodge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230624000077 TX Part A Provider - Skilled Nursing Facility 2860676509 Practice locations: Tomball, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598378796. Details of each certification follow.

Skilled nursing facility certification: CCN 676244

Legal name
WEST COKE COUNTY HOSPITAL DISTRICT
Doing business as
WILLOW CREEK LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 16, 2010
Last certification
Jun 13, 2024
Beds
135
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cross Healthcare
Organization structure
GovernmentNon-profit
Enrollment address
11830 Northpointe Blvd
Tomball, TX 77377-5536
Nursing home name
WILLOW CREEK LODGE
Affiliated entity
CROSS HEALTHCARE MANAGEMENT

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willow Creek LodgeCCN 676244 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 16, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13581.4 residents per day on average
Chain
Cross Healthcare Management6 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
45D1105583West Coke County Hospital District Dba Willow11830 Northpointe Boulevard, Tomball, TX 77377Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
West Coke County EMS7 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.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
West Coke County Hospital District Organization, Robert Lee, TX 5% Or Greater Direct Ownership Interest May 1, 2026 100%
Biju John Individual Operational/Managerial Control May 1, 2026
Managing Control - Governing BodyAdministrator May 1, 2026
Adp of the SNF May 1, 2026
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 1, 2026
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Feb 11, 2026
Organization, San Juan Capistrano, CA LLC Adp of the SNF May 1, 2026
Hermanjeet S Grewal Individual Operational/Managerial Control May 1, 2026
Managing Control - Governing BodyMedical Director May 1, 2026
Adp of the SNF May 1, 2026
Wesley McGuire Individual Corporate OfficerDistrict Administrator May 1, 2023
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF May 1, 2026
Northpointe Blvd Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF May 1, 2026
Canyonlands Peak Healthcare LLC Organization, Tomball, TX LLC Operational/Managerial Control May 1, 2026
Adp of the SNF Jun 10, 2026
Soon Burnam Individual Operational/Managerial Control May 1, 2026

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
Robert Lee Care CenterRobert Lee, TX, CCN 675599 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Mar 10, 2011
Mar 10, 2011
Eagle Crest Rapid RecoveryHouston, TX, CCN 676208 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Falcon Point Post AcuteKaty, TX, CCN 676195 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Parks Health CenterOdessa, TX, CCN 455690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025

Owned or controlled facilities with NPI records 4

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 3

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 1

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1598378796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 NORTHPOINTE BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775536",
            "telephone_number": "281-205-9400",
            "fax_number": "281-516-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 NORTHPOINTE BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775536",
            "telephone_number": "281-205-9400",
            "fax_number": "281-516-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COKE COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "HOUSTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-453-2511"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.