Fannin County Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118078 Issued in TX

Legal business name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

Lakeshore Village Nursing and Rehabilitation.

Practice address

2320 Lake Shore Dr
Waco, TX 76708-1276

Phone

(254) 752-1075

NPI assigned

Apr 2, 2007

Last updated

Jun 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clark Sanderson

Title

Board President

Phone

(817) 372-7224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeshore Village Nursing and Rehabilitation. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609997279. Details of each certification follow.

• CCN 675438 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675438

Legal name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

LAKESHORE VILLAGE NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 22, 1994

Last certification

Feb 20, 2025

Beds

151

Ownership / control type

Hospital District

Multi-facility organization

Fannin County Hospital Authority

Organization structure

OtherNon-profit

Enrollment address

2320 Lake Shore Dr
Waco, TX 76708-1276

Nursing home name

LAKESHORE VILLAGE NURSING AND REHABILITATION

Affiliated entity

EDURO HEALTHCARE

Listed as

Lakeshore Village Nursing and RehabilitationCCN 675438 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - Hospital district

Certified

Dec 22, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

151118.8 residents per day on average

Chain

Eduro Healthcare34 facilities in the chain

Penalties (3 years)

2Fines totaling $107,407

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Fannin Cnty Hosp Authority72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Fannin County Hospital Authority

  dba Ennis Care Center

  • Skilled Nursing Facility
  • Ennis, TX
  • NPI 1366963654
  NPD tax ID
• Fannin County Hospital Authority

  dba The Park in Plano

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1376972984
  NPD tax ID
• Fannin County Hospital Authority

  dba Avir at Dallas

  • Skilled Nursing Facility
  • Dallas, TX
  • NPI 1386399947
  NPD tax ID
• Fannin County Hospital Authority

  dba Avir at Center

  • Skilled Nursing Facility
  • Center, TX
  • NPI 1396330510
  NPD tax ID
• Fannin County Hospital Authority

  dba Avir at Athens

  • Skilled Nursing Facility
  • Athens, TX
  • NPI 1447244116
  NPD tax ID
• Fannin County Hospital Authority

  dba Interlochen Health and Rehabiltation Center

  • Skilled Nursing Facility
  • Arlington, TX
  • NPI 1477674968
  NPD tax ID
• Fannin County Hospital Authority

  dba North Star Ranch Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Bonham, TX
  • NPI 1487253365
  NPD tax ID
• Fannin County Hospital Authority

  dba Greenview Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Waco, TX
  • NPI 1497876965
  NPD tax ID
• Fannin County Hospital Authority

  dba Veranda Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1518293919
  NPD tax ID
• Fannin County Hospital Authority

  dba Village Healthcare and Rehabilitation

  • Skilled Nursing Facility
  • McAllen, TX
  • NPI 1528053238
  NPD tax ID
• Fannin County Hospital Authority

  dba Victoria Gardens of Frisco

  • Skilled Nursing Facility
  • Frisco, TX
  • NPI 1528824885
  NPD tax ID
• Fannin County Hospital Authority

  dba Trucare Living Centers - Selma

  • Skilled Nursing Facility
  • Selma, TX
  • NPI 1578911384
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Seminole Hospital District of Gaines County Texas

  dba Seminole Community Pharmacy

  • Community/Retail Pharmacy
  • Seminole, TX
  • NPI 1427618461

  Member Of

  NPD member

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.

All facility ownership & control disclosures 55

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

Facilities with the same owner 55

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

• Fannin County Hospital Authority

  dba Avir at Citizens Trail

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1033972427

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Levelland Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Levelland, TX
  • NPI 1063533511

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Weatherford

  • Skilled Nursing Facility
  • Weatherford, TX
  • NPI 1073634366

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Healthcare and Rehabilitation - Paris

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1093176968

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Treasure Hills Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1104470293

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Healthcare and Rehabilitation - Greenville

  • Skilled Nursing Facility
  • Greenville, TX
  • NPI 1114388089

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Jefferson

  • Skilled Nursing Facility
  • Jefferson, TX
  • NPI 1124495486

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Terrell

  • Skilled Nursing Facility
  • Terrell, TX
  • NPI 1124851456

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Heritage Plaza Nursing Center

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1134113947

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Oaks Healthcare and Rehabilitation Center Gladewater

  • Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1144680471

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba La Dora Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1194166132

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Bluebonnet Point Wellness

  • Skilled Nursing Facility
  • Bullard, TX
  • NPI 1245070366

  Fannin County Hospital Authority

  CMS ownership

Practitioners 1

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.

• Nicholas Schwedock, MD

  • Family Medicine Physician
  • Waco, TX
  • NPI 1598742124
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nicholas Schwedock, MD

  • Family Medicine Physician
  • Waco, TX
  • NPI 1598742124

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749945600000",
    "number": "1609997279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081276",
            "telephone_number": "254-752-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081276",
            "telephone_number": "254-752-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "817-372-7224"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013373",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Village Nursing and Rehabilitation.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faithful Love Therapeutic Children's Home
• Falcon South Plains Hospice, LP (Interim Hospice of Granbury)
• Adam Michael Falcone, M.D.
• Angela Marie Fallwell
• Fannin County Hospital Authority (Greenview Nursing and Rehabilitation)
• Phillip D Farmer Jr., R.PH.
• Farnsworth Chiropractic Center
• Steve L. Farnsworth
• Brett Middleton Farnum, LMSW
• David Porteus Fearis III, M.D.

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.