Organization Active NPI

MRC Pinecrest

Doing business as Pincrest Retirement Community

  • Skilled Nursing Facility
  • Lufkin, TX
National Provider Identifier
1659371565
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116427 Issued in TX
Legal business name
MRC PINECREST
Doing business as
Pincrest Retirement Community
Practice address
1302 Tome Temple Dr
Lufkin, TX 75904-5550
Phone
(936) 634-1054
Fax
(936) 634-1054
NPI assigned
Jul 21, 2005
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Ms. Devon Cox
Title
Billing Supervisor
Phone
(281) 210-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116427 TX Primary

Addresses

Primary practice location

1302 Tome Temple Dr
Lufkin, TX 75904-5550

Mailing address

1302 Tom Temple Dr
Lufkin, TX 75904-5550
Phone (936) 634-1054

Other names 1

  • Pincrest Retirement Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000210 TX Part A Provider - Skilled Nursing Facility 4789688136 Practice locations: Lufkin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659371565. Details of each certification follow.

Skilled nursing facility certification: CCN 676124

Legal name
MRC PINECREST
Doing business as
PINECREST RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 19, 2007
Last certification
May 1, 2024
Beds
51
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Methodist Retirement Communities
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1995 in TX
Enrollment address
1302 Tom Temple Dr
Pinecrest Retirement Community
Lufkin, TX 75904-5548
Nursing home name
PINECREST RETIREMENT COMMUNITY
Affiliated entity
METHODIST RETIREMENT COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pinecrest Retirement CommunityCCN 676124 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 19, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5143.7 residents per day on average
Chain
Methodist Retirement Communities6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0967224Pinecrest Retirement Community1302 Tom Temple Dr, Lufkin, TX 75904Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
MRC Pinecrest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1440 Lake Front Cir
Ste 140
The Woodlands, TX 77380

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Alicia Besser Individual Corporate DirectorBoard Member Jul 1, 2024
Kip Gilts Individual Corporate DirectorBoard Member Jul 1, 2020
Donald Stephens Individual Corporate OfficerTreasurer/Cfo Jan 7, 2015
Walter Woodward Individual Corporate DirectorBoard Member Jul 1, 2024
Richard Morgan Individual Corporate DirectorBoard Member Jul 1, 2017
Romonica Malone-Wardley Individual Corporate DirectorBoard Member Jul 1, 2023
William King Individual Corporate DirectorBoard Member Jan 1, 2018
Alan Dwight Brown Individual Corporate OfficerPresident Apr 13, 2020
Corporate DirectorPresident/Ceo Apr 13, 2020
Amy Thomas Individual Operational/Managerial Control Apr 1, 2018
Billy Williamson Individual Corporate DirectorBoard Member Jul 1, 2004
Methodist Retirement Communities Organization, The Woodlands, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Dec 1, 1992 100%
MRC Pinecrest Organization, Lufkin, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 19, 2007 100%
Dale D Conger Individual Corporate DirectorBoard Member Jan 21, 2020
Hannah Pierce Individual Operational/Managerial Control Jun 11, 2015
Adp of the SNF Aug 28, 2025
Ed Simmons Individual Corporate DirectorBoard Member Jul 1, 2024
James S Bunch Individual Corporate OfficerBoard Member Jul 1, 2013
Matthew Currie Individual Corporate OfficerCoo Aug 21, 2025
Organization, Minneapolis, MN Consulting firm Adp of the SNF Jul 31, 2025
Alyce Baggett Individual Corporate DirectorBoard Member Nov 26, 2012
Heath Foust Individual Operational/Managerial Control Oct 15, 2020
Organization, Homosassa, FL Corporation, Medical provider/supplier Adp of the SNF Jul 31, 2025
William a Koerner Individual Corporate DirectorBoard Member Feb 21, 2020
The Aldersgate Trust Organization, The Woodlands, TX Created for acquisition, Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 30, 2004 100%
Adp of the SNF Nov 30, 2004
Organization, Charlotte, NC Corporation Adp of the SNF Aug 30, 2025
Individual Adp of the SNF Dec 5, 2018
Todd K. Partin Individual Operational/Managerial Control Apr 18, 2018
Frankie F Watson Individual Corporate DirectorBoard Member Nov 12, 2021

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1659371565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 TOM TEMPLE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045550",
            "telephone_number": "936-634-1054",
            "fax_number": "936-634-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 TOME TEMPLE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045550",
            "telephone_number": "936-634-1054",
            "fax_number": "936-634-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRC PINECREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "281-210-0123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pincrest Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.