NPIMap

Organization Active NPI

Eastland Memorial Hospital District

Doing business as Keller Oaks Healthcare Center

  • Skilled Nursing Facility
  • Keller, TX
National Provider Identifier
1649824343
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as
Keller Oaks Healthcare Center
Practice address
8703 Davis Blvd
Keller, TX 76248
Phone
(817) 577-9999
Fax
(817) 849-8388
NPI assigned
Jul 31, 2019
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Soon Burnam
Title
Authorized Representative
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8703 Davis Blvd
Keller, TX 76248

Mailing address

8703 Davis Blvd
Keller, TX 76248-0309
Phone (817) 577-9999

Other names 1

  • Keller Oaks Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191121000540 TX Part A Provider - Skilled Nursing Facility 3072412725 Practice locations: Keller, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649824343. Details of each certification follow.

Skilled nursing facility certification: CCN 676023

Legal name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as
KELLER OAKS HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 14, 2004
Last certification
May 8, 2025
Beds
146
Ownership / control type
Hospital District
Multi-facility organization
Keystone Care, LLC
Most recent change of ownership
Nov 1, 2019
Organization structure
GovernmentNon-profit
Enrollment address
8703 Davis Blvd
Keller, TX 76248-0309
Nursing home name
KELLER OAKS HEALTHCARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Keller Oaks Healthcare CenterCCN 676023 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jun 14, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
146131.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

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
Organization, San Juan Capistrano, CA LLC Adp of the SNF Nov 1, 2019
Olutoyin O Abitoye Individual Operational/Managerial Control Nov 1, 2019
Managing Control - Governing BodyMedical Director Nov 1, 2019
Adp of the SNF Nov 1, 2019
Eastland Memorial Hospital District Organization, Eastland, TX 5% Or Greater Direct Ownership Interest Nov 1, 2019 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 1, 2019
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 14, 2019
Stephen C Taylor Individual Corporate OfficerCeo Eastland Memorial Hospital Dist Jul 1, 2025
Ashlie Snyder Individual Operational/Managerial ControlAdministrator Nov 1, 2019
Managing Control - Governing BodyAdministrator Nov 1, 2019
Adp of the SNF Nov 1, 2019
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Davis Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Nov 1, 2019
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Nov 1, 2019
Powderhorn Mountain Healthcare, Inc. Organization, Keller, TX LLC Operational/Managerial Control Nov 1, 2019
Adp of the SNF Aug 13, 2025
Soon Burnam Individual Corporate OfficerSecretary of Management Company Nov 1, 2019

Owners & managing parties with NPI records 1

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

  • Olutoyin O Abitoye, MD
    • Internal Medicine Physician
    • Mount Holly, NJ
    • NPI 1851559595

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 36

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

FacilityTypeRoleSince
Eastland Memorial HospitalEastland, TX, CCN 671303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 20, 2023
Mar 20, 2023
Eastland Memorial HospitalEastland, TX, CCN 67Z303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 20, 2023
Mar 20, 2023
Northern Oaks Living and Rehabilitation CenterAbilene, TX, CCN 455934 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Avir at CiscoCisco, TX, CCN 675259 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Willowbend Nursing and Rehabilitation Center.Mesquite, TX, CCN 675272 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2015
Wisteria PlaceAbilene, TX, CCN 675593 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
The WoodlandsEastland, TX, CCN 675001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Golden Acres Living and Rehabilitation CenterDallas, TX, CCN 675081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2015
Heritage Gardens Rehabilitation and HealthcareCarrollton, TX, CCN 675111 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Lake Village Nursing and Rehabilitation CenterLewisville, TX, CCN 675560 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Mesa Springs Healthcare CenterAbilene, TX, CCN 675645 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Westpark Rehabilitation and LivingEuless, TX, CCN 676029 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Carrollton Health and Rehabilitation CenterCarrollton, TX, CCN 675972 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Wellington Rehabilitation and HealthcareTemple, TX, CCN 455637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at Fort WorthFort Worth, TX, CCN 676132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Green Valley Healthcare and Rehabilitation CenterForth Worth, TX, CCN 676161 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Cross Timbers Rehabilitation and Healthcare CenterFlower Mound, TX, CCN 675703 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at ItascaItasca, TX, CCN 675712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2017
Richland Hills Rehabilitation and Healthcare CenterRichland Hills, TX, CCN 455576 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at HillsboroHillsboro, TX, CCN 675096 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2017
Terrell Healthcare CenterTerrell, TX, CCN 675879 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Legend Oaks Healthcare and Rehabilitation - WaxahachieWaxahachie, TX, CCN 676421 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Legend Oaks Healthcare and Rehabilitation - GarlandGarland, TX, CCN 676413 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
The Villages of DallasDallas, TX, CCN 675611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Legend Oaks Healthcare and Rehabilitation - Fort WorthFort Worth, TX, CCN 676426 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Pleasant Manor Healthcare and RehabilitationWaxahachie, TX, CCN 675889 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Crestwood Health and Rehabilitation CenterWills Point, TX, CCN 675597 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
The Oaks at Radford Hills Healthcare CenterAbilene, TX, CCN 675330 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Ridgecrest Retirement and Healthcare CommunityWaco, TX, CCN 455670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Pleasant Valley Healthcare and Rehabilitation CenterGarland, TX, CCN 675305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
McKinney Healthcare and Rehabilitation CenterMcKinney, TX, CCN 675004 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Windsor Rehabilitation and HealthcareTerrell, TX, CCN 675808 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Beacon Harbor Healthcare and RehabilitationRockwall, TX, CCN 675579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Rowlett Health and Rehabilitation CenterRowlett, TX, CCN 455904 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Emh Regional Healthcare ClinicEastland, TX, CCN 673490 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Eastland Memorial HospitalRanger, TX, CCN 678550 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 2

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 6

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": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1649824343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 DAVIS BLVD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480309",
            "telephone_number": "817-577-9999",
            "fax_number": "817-849-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 DAVIS BLVD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-577-9999",
            "fax_number": "817-849-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Keller Oaks Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.