Organization Active NPI

Brenham Healthcare Center, LLC

  • Skilled Nursing Facility
  • Odessa, TX
National Provider Identifier
1598649964
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRENHAM HEALTHCARE CENTER, LLC
Doing business as
Brenham Healthcare Center
Practice address
7503 Iron Mountain Rd
Odessa, TX 79765-2538
Phone
(415) 902-5163
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Shamar Shamar
Title
Manager
Phone
(415) 902-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7503 Iron Mountain Rd
Odessa, TX 79765-2538

Mailing address

7503 Iron Mountain Rd
Odessa, TX 79765-2538

Other names 1

  • Brenham Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251229000609 TX Part A Provider - Skilled Nursing Facility 4880180991 Practice locations: Brenham, TX

Skilled nursing facility certification: CCN 676355

Legal name
BRENHAM HEALTHCARE CENTER, LLC
Doing business as
BRENHAM HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 11, 2014
Last certification
Aug 29, 2024
Beds
62
Ownership / control type
Individual
Organization structure
LLCProprietary
Enrollment address
1303 Highway 290 E
Brenham, TX 77833-5928

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Shamar Johnson Individual Operational/Managerial Control Aug 31, 2025
Adp of the SNF Aug 31, 2025
Direct Ownership Interest Jan 1, 2025 100%
Brenham Healthcare Center, LLC Organization, Odessa, TX LLC, Management services company Operational/Managerial Control Aug 31, 2025
Adp of the SNF Aug 31, 2025
Remy W Zockazock Individual Adp of the SNF Aug 31, 2025
Organization, Brenham, TX LLC Adp of the SNF Jun 3, 2026
Carlene Truitt-Ross Individual Adp of the SNF Aug 31, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1598649964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 IRON MOUNTAIN RD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 IRON MOUNTAIN RD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652538",
            "telephone_number": "415-902-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENHAM HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "SHAMAR",
        "authorized_official_first_name": "SHAMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-902-5163"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brenham Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.