NPIMap

Organization Active NPI

County of Throckmorton

Doing business as Graham Oaks Care Center

  • Skilled Nursing Facility
  • Graham, TX
National Provider Identifier
1659535441
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
114203 Issued in TX
Legal business name
COUNTY OF THROCKMORTON
Doing business as
Graham Oaks Care Center
Practice address
1325 1St St.
Graham, TX 76450-3603
Phone
(940) 549-8787
Fax
(940) 521-0355
NPI assigned
Jul 11, 2008
Last updated
Dec 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Mr. Kirby D Gober
Title
Chief Executive Officer
Phone
(940) 849-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 114203 TX Primary

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 names 1

  • Graham Oaks Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306000504 TX Part A Provider - Skilled Nursing Facility 6305067539 Practice locations: Graham, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659535441. Details of each certification follow.

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
OtherProprietary
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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Graham Oaks Care CenterCCN 455968 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
11076.0 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $34,690

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
County of Throckmorton4 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.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Graham I Enterprises, LLC Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2019 100%
Adp of the SNF Apr 12, 2025
Caleb Hodges Individual Managing Control - Governing BodyCounty Judge Jan 1, 2023
Malisa a Blake Individual Operational/Managerial ControlMember Jan 1, 2019 50%
Kasey Hibbitts Individual Managing Control - Governing BodyCommissioner Jun 18, 2020
Gary R Blake Individual Operational/Managerial ControlManaging Member Jan 1, 2019 50%
Adp of the SNF Jan 1, 2019
Gregory Brockman Individual Managing Control - Governing BodyCommissioner Jan 1, 2021
Kirby Gober Individual Corporate OfficerHospital Administrator Jun 20, 2014
Managing Control - Governing BodyHospital Administrator Jun 20, 2014
Aaron G Purdy Individual Adp of the SNF Apr 12, 2025
Klayton Mitchell Individual Managing Control - Governing BodyCommissioner Jan 31, 2020
Linda F Huggins Individual Corporate DirectorVP of Accounts Receivable Jul 1, 2022
Roxy Cook Individual Adp of the SNF Apr 12, 2025
County of Throckmorton Organization, Throckmorton, TX 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Zachary Willig Individual Corporate DirectorLicensing Manager Jan 1, 2025
Casey Wells Individual Managing Control - Governing BodyCommissioner May 10, 2004

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Avir at HaskellHaskell, TX, CCN 675014 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2014
Avir at GrahamGraham, TX, CCN 455555 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Avir at GainesvilleGainesville, TX, CCN 675067 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

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 4

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": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1659535441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLAZA",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-348-8959",
            "fax_number": "817-348-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 1ST ST.",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503603",
            "telephone_number": "940-549-8787",
            "fax_number": "940-521-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF THROCKMORTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "940-849-2141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graham Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

Verify at the official NPI Registry.