County of Throckmorton
Organization Active NPI Skilled Nursing Facility · Graham, TX
NPI 1659535441 · NPPES record last updated Dec 23, 2021
Key facts
- NPI
- 1659535441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 114203 (TX)
- Legal business name
- COUNTY OF THROCKMORTON
- Practice address
- 1325 1St St.
Graham, TX 76450-3603 - Phone
- (940) 549-8787
- Fax
- (940) 521-0355
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Kirby D Gober
- Title
- Chief Executive Officer
- Phone
- (940) 849-2141
Owners & managing parties with NPI records 4
-
Aaron Garrett Purdy, M.D.
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Facilities with the same owner 3
Practitioners 2
-
Syed M Jamal, MD
-
Aaron Garrett Purdy, M.D.
Affiliated clinicians 4
-
Syed M Jamal, MD
-
William P Martin, MD
-
Jared Hayden Mataska, M.D.
-
Aaron Garrett Purdy, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Graham Oaks Care Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 28, 1991
- Medicare certification status
- Active
- Certified beds
- 110 · 76.0 residents per day on average
- Chain
- Creative Solutions in Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $34,690
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 455968
- Legal name
- COUNTY OF THROCKMORTON
- Doing business as
- GRAHAM OAKS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 28, 1991
- Last certification
- Jan 22, 2025
- Beds
- 120 (110 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Creative Solutions in Healthcare
- Organization structure
- Other · Proprietary
- Incorporated
- in TX
- Enrollment address
- 1325 1St St
Graham, TX 76450-3603 - Nursing home name
- GRAHAM OAKS CARE CENTER
- Affiliated entity
- CREATIVE SOLUTIONS IN HEALTHCARE
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Graham I Enterprises, LLC |
Operational/Managerial Control | Jan 1, 2019 | 100% |
| Adp of the SNF | Apr 12, 2025 | ||
| Caleb Hodges |
Managing Control - Governing Body |
Jan 1, 2023 | |
| Malisa a Blake |
Operational/Managerial Control |
Jan 1, 2019 | 50% |
| Kasey Hibbitts |
Managing Control - Governing Body |
Jun 18, 2020 | |
| Gary R Blake |
Operational/Managerial Control |
Jan 1, 2019 | 50% |
| Adp of the SNF | Jan 1, 2019 | ||
| Gregory Brockman |
Managing Control - Governing Body |
Jan 1, 2021 | |
| Kirby Gober |
Corporate Officer |
Jun 20, 2014 | |
| Managing Control - Governing Body |
Jun 20, 2014 | ||
| Aaron G Purdy |
Adp of the SNF | Apr 12, 2025 | |
| Klayton Mitchell |
Managing Control - Governing Body |
Jan 31, 2020 | |
| Linda F Huggins |
Corporate Director |
Jul 1, 2022 | |
| Roxy Cook |
Adp of the SNF | Apr 12, 2025 | |
| County of Throckmorton |
5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 100% |
| Zachary Willig |
Corporate Director |
Jan 1, 2025 | |
| Casey Wells |
Managing Control - Governing Body |
May 10, 2004 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Avir at Haskell |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 30, 2014 |
| Avir at Graham |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Avir at Gainesville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150306000504 | TX | Part a Provider - Skilled Nursing Facility | 6305067539 | Practice locations: Graham, TX |
National Provider Directory
- Tax ID family
- County of Throckmorton
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 114203 | TX | Yes |
Addresses
Primary practice location
1325 1St St.
Graham, TX 76450-3603
Mailing address
4150 International Plaza
Suite 600
Fort Worth, TX 76109-4831
Phone (817) 348-8959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001016158 | Medicaid | TX |
Other names
- Graham Oaks Care Center
Other providers in Graham, TX
- Central Physical Therapy and Rehabilitation Inc
- Complete Speech, PLLC
- Margaret Grace Corso
- Fred Junior Cotton
- County of Throckmorton
- Christa Cretors
- CSH Graham LP
- CSH Graham, LP
- Kelly Darden
- Kimberlee Davis
All providers in Graham, 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 Dec 23, 2021. 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.