Active NPI
MRC Pinecrest
Doing business as Pincrest Retirement Community
- Skilled Nursing Facility
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 116427
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 19, 2007
- Medicare certification status
- Active
- Certified beds
- 51
- Chain
- Methodist Retirement Communities
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0967224 | Pinecrest Retirement Community | Certificate of waiver | Nov 4, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- MRC Pinecrest
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alicia Besser | Corporate Director | Jul 1, 2024 | |
| Kip Gilts | Corporate Director | Jul 1, 2020 | |
| Donald Stephens | Corporate Officer | Jan 7, 2015 | |
| Walter Woodward | Corporate Director | Jul 1, 2024 | |
| Richard Morgan | Corporate Director | Jul 1, 2017 | |
| Romonica Malone-Wardley | Corporate Director | Jul 1, 2023 | |
| William King | Corporate Director | Jan 1, 2018 | |
| Alan Dwight Brown | Corporate Officer | Apr 13, 2020 | |
| Corporate Director | Apr 13, 2020 | ||
| Amy Thomas | Operational/Managerial Control | Apr 1, 2018 | |
| Billy Williamson | Corporate Director | Jul 1, 2004 | |
| Methodist Retirement Communities | 5% Or Greater Direct Ownership Interest | Dec 1, 1992 | 100% |
| MRC Pinecrest | 5% Or Greater Direct Ownership Interest | Jan 19, 2007 | 100% |
| Dale D Conger | Corporate Director | Jan 21, 2020 | |
| Hannah Pierce | Operational/Managerial Control | Jun 11, 2015 | |
| Adp of the SNF | Aug 28, 2025 | ||
| Ed Simmons | Corporate Director | Jul 1, 2024 | |
| James S Bunch | Corporate Officer | Jul 1, 2013 | |
| Matthew Currie | Corporate Officer | Aug 21, 2025 | |
| Adp of the SNF | Jul 31, 2025 | ||
| Alyce Baggett | Corporate Director | Nov 26, 2012 | |
| Heath Foust | Operational/Managerial Control | Oct 15, 2020 | |
| Adp of the SNF | Jul 31, 2025 | ||
| William a Koerner | Corporate Director | Feb 21, 2020 | |
| The Aldersgate Trust | 5% Or Greater Indirect Ownership Interest | Nov 30, 2004 | 100% |
| Adp of the SNF | Nov 30, 2004 | ||
| Adp of the SNF | Aug 30, 2025 | ||
| Adp of the SNF | Dec 5, 2018 | ||
| Todd K. Partin | Operational/Managerial Control | Apr 18, 2018 | |
| Frankie F Watson | Corporate Director | Nov 12, 2021 |
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba MRC The Crossings
- Skilled Nursing Facility
- League City, TX
- NPI 1639569460
Methodist Retirement Communities
-
dba Cornerstone Retirement Community
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1942200852
The Aldersgate Trust
-
dba Crestview Retirement Community
- Skilled Nursing Facility
- Bryan, TX
- NPI 1578563342
Methodist Retirement Communities, The Aldersgate Trust
-
dba Mirador
- Skilled Nursing Facility
- Corpus Christi, TX
- NPI 1467914242
Methodist Retirement Communities, The Aldersgate Trust
-
dba MRC CreekSide
- Skilled Nursing Facility
- Huntsville, TX
- NPI 1831199751
Methodist Retirement Communities, The Aldersgate Trust
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
- Daniel Craig Morris, MSN, APRN, FNP-C
- Kelli Diane Morris, APRN
- Tracy Renee Moss, PT
- MP Imaging, LLC (Superior Sonography)
- MRC Pinecrest (PineCrest Home Health Services)
- Sally E Muhlbach, AUD, CCC-A, FAAA
- John Edward Mullen, PHYSICIAN ASSISTANT
- Scott Mundt, OTR
- Jadavion Keshawn Murphy
- Shelby Renee Murphy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.