Organization Active NPI

Trinity Memorial Hospital District

Doing business as Avir at Groveton

  • Skilled Nursing Facility
  • Groveton, TX
National Provider Identifier
1639998743
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TRINITY MEMORIAL HOSPITAL DISTRICT
Doing business as
Avir at Groveton
Groveton Nursing Home
Practice address
1020 West 1St Street
Groveton, TX 75845-4186
Phone
(936) 642-1221
Fax
(682) 257-8894
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Johnny Thompson
Title
District Administrator
Phone
(361) 771-6391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1020 West 1St Street
Groveton, TX 75845-4186

Mailing address

1020 W 1St St
Groveton, TX 75845-4186

Other names 2

  • Avir at Groveton Doing business as
  • Groveton Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701003653 TX Part A Provider - Skilled Nursing Facility 9234642398 Practice locations: Groveton, TX

Skilled nursing facility certification: CCN 676172

Legal name
TRINITY MEMORIAL HOSPITAL DISTRICT
Doing business as
GROVETON NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 1, 2008
Last certification
Aug 7, 2024
Beds
47
Ownership / control type
Corporation
Most recent change of ownership
Dec 1, 2024
Organization structure
GovernmentProprietary
Enrollment address
1020 West 1St Street
Groveton, TX 75845-4186
Nursing home name
GROVETON NURSING HOME
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Groveton Nursing HomeCCN 676172 · 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
Mar 1, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4731.0 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
1Fines totaling $56,378

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Trinity Memorial Hospital District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1500 W Abram St
Arlington, TX 76013

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Charles Karnes Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
Michelle Medlock Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
Leon Evans Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Marjory Pulvino Individual Corporate OfficerPresident Dec 1, 2024
Managing Control - Governing BodyPresident Dec 1, 2024
Deana Shelly Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
GHC Groveton Operations, LLC Organization, Fort Worth, TX LLC, Management services company Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Andrea K Hill Individual Adp of the SNF Dec 1, 2024
Patricia Rogers Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
Sunnie Frye Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
Jennifer Renee Anderson Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Leonard Hancock Individual Managing Control - Governing BodyVice President Dec 1, 2024
Khoren Hekimian Individual Adp of the SNF Dec 1, 2024
Cheryl Spearman Individual Managing Control - Governing BodySecretary Dec 1, 2024
Laura Vanecek Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
Trinity Memorial Hospital District Organization, Trinity, TX 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Zachary Willig Individual Corporate OfficerLicensing Consultant Dec 1, 2024
Adp of the SNF Dec 1, 2024
GHC Operations Holdco, LLC Organization, Fort Worth, TX LLC, Holding company Adp of the SNF Jul 1, 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": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1639998743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W 1ST ST",
            "city": "GROVETON",
            "state": "TX",
            "postal_code": "758454186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WEST 1ST STREET",
            "city": "GROVETON",
            "state": "TX",
            "postal_code": "758454186",
            "telephone_number": "936-642-1221",
            "fax_number": "682-257-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "361-771-6391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Groveton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Groveton Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groveton, TX

Sources for this page

Verify at the official NPI Registry.