Fannin County Hospital Authority
Organization Active NPI Skilled Nursing Facility · Malakoff, TX
NPI 1639945280 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1639945280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Practice address
- 1611 W Royall Blvd
Malakoff, TX 75148-6202 - Phone
- (903) 489-1702
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Denver Sheddy
- Title
- Manager
- Phone
- (903) 583-1854
Owners & managing parties with NPI records 1
-
David Paul Sanner, M.D.
Corporate family (same tax ID) 24
Facilities with the same owner 55
Practitioners 1
-
David Paul Sanner, M.D.
Affiliated clinicians 1
-
David Paul Sanner, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Cedar Lake Nursing Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 20, 2001
- Medicare certification status
- Active
- Certified beds
- 90 · 52.8 residents per day on average
- Chain
- Fannin County Hospital District
- Penalties (3 years)
- 1 · fines totaling $4,545
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0478541 | Cedar Lake Nursing Center | Certificate of waiver | Feb 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 675898
- Legal name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Doing business as
- CEDAR LAKE NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Nov 20, 2001
- Last certification
- Aug 7, 2024
- Beds
- 90
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 1611 W Royall Blvd
Malakoff, TX 75148-6202 - Nursing home name
- CEDAR LAKE NURSING CENTER
- Affiliated entity
- FANNIN COUNTY HOSPITAL DISTRICT
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Rusk Nursing & Rehab Center LLC |
Operational/Managerial Control | Jan 1, 2024 | 100% |
| Ursula a Bumpass |
5% Or Greater Mortgage Interest |
Jan 1, 2024 | 50% |
| Edward Blalock |
Operational/Managerial Control |
Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Mummm Investments, LLC |
5% Or Greater Mortgage Interest | Jan 1, 2024 | 100% |
| Adp of the SNF | Jan 1, 2024 | ||
| Michael Bumpass |
5% Or Greater Mortgage Interest |
Jan 1, 2024 | 50% |
| Adp of the SNF | Jan 1, 2024 | ||
| Clark R Sanderson |
Corporate Director |
Jan 1, 2024 | |
| Fannin County Hospital Authority |
5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 100% |
| David Paul Sanner |
Adp of the SNF | Jan 1, 2024 | |
| Douglas Francis Humble |
Adp of the SNF | Jan 1, 2024 |
All facility ownership & control disclosures 55
| Facility | Type | Role | Since |
|---|---|---|---|
| TMC Bonham Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 2013 Jan 1, 2013 |
| TMC Bonham Hospital |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 |
| Reunion Plaza Senior Care and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Heritage Plaza Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at Athens |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Wylie Oaks Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| La Dora Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Fannin County Hospital Authority |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Interlochen Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at the Meadow |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Pleasant Springs Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Longmeadow Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| Texoma Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Downtown Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| North Park Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Paris |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Gladewater |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Greenville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Park Highland Nursing & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Ennis Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Avir at Jefferson |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Trucare Living Centers |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Veranda Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Trucare Living Center-Selma |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Village Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2020 |
| Avir at Walnut Springs |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2020 |
| Avir at Kingsland |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2020 |
| Avir at Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| The Waterton Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2022 |
| Harbor Valley Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Levelland Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Bangs Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Pampa Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 |
| Greenview Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Peach Tree Place |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| The Park in Plano |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Lakeshore Village Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Avir at Dallas |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Avir at Weatherford |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Treasure Hills Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Dec 1, 2023 |
| Grand Terrace Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| McAllen Transitional Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Alta Vista Rehabilitation and Health |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Trucare Living Centers Columbus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| The Homestead of Denison |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2024 |
| Bluebonnet Point Wellness |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Avir at Citizens Trail |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2024 Jun 1, 2024 |
| Woodlands Place Rehabilitation Suites |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2024 |
| Belterra Health & Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2025 |
| Greenbrier Nursing & Rehabilitation Center of Palestine |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Crossroads Nursing & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Countryview Nursing & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Windmill Village Rehabilitation & Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| North Star Ranch Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 May 1, 2025 |
| Rockdale Estates & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240314000317 | TX | Part a Provider - Skilled Nursing Facility | 6002054764 | Practice locations: Malakoff, TX |
National Provider Directory
- Tax ID family
- Fannin Cnty Hosp Authority
Locations
1611 W Royall Blvd
Malakoff, TX 75148
Phone (903) 489-1702
6500 Horizon Cir
Woodway, TX 76712
Phone (254) 242-0772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1611 W Royall Blvd
Malakoff, TX 75148-6202
Mailing address
1611 W Royall Blvd
Malakoff, TX 75148-6202
Phone (903) 489-1702
Other names
- Cedar Lake Wellness & Rehabilitation
Other providers in Malakoff, TX
- Cedar Lake Nursing Home, Inc.
- Christian Life Residential Services
- Korah Crockett
- Cross Roads I.S.D.
- Jo Anne Dent
- David Gastauer
- Golden Hearts Home Care LLC
- Golden Hearts Home Care, LLC
- Kelsey J Hall
- Herring Happy Hearts Counseling & Supervision, PLLC
All providers in Malakoff, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.