NPIMap

Organization Active NPI

Liberty County Hospital District No 1

Doing business as Mason Creek Transitional Care of Katy

  • Skilled Nursing Facility
  • Katy, TX
National Provider Identifier
1659731081
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Doing business as
Mason Creek Transitional Care of Katy
Practice address
21727 Provincial Blvd
Katy, TX 77450-6508
Phone
(281) 717-1302
Fax
(281) 717-1396
NPI assigned
Feb 26, 2016
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 Agent
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

21727 Provincial Blvd
Katy, TX 77450-6508

Mailing address

21727 Provincial Blvd
Katy, TX 77450-6508
Phone (281) 717-1302

Other names 1

  • Mason Creek Transitional Care of Katy 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
O20170619001069 TX Part A Provider - Skilled Nursing Facility 3678766227 Practice locations: Katy, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659731081. Details of each certification follow.

Skilled nursing facility certification: CCN 676194

Legal name
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Doing business as
MASON CREEK TRANSITIONAL CARE OF KATY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 2, 2008
Last certification
Dec 12, 2024
Beds
125
Ownership / control type
Hospital District
Organization structure
OtherNon-profit
Enrollment address
21727 Provincial Blvd
Katy, TX 77450-6508
Nursing home name
MASON CREEK TRANSITIONAL CARE OF KATY
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mason Creek Transitional Care of KatyCCN 676194 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Oct 2, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12597.8 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $16,175

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
45D1090099Mason Creek Transitional Care of Katy21727 Provincial Blvd, Katy, TX 77450Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ldrmc Professional Services41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Cane Island Healthcare, Inc Organization, Katy, TX Corporation Operational/Managerial Control Apr 1, 2017 100%
Adp of the SNF Nov 3, 2025
National Health Investors, Inc. Organization, Murfreesboro, TN Corporation Adp of the SNF Apr 1, 2017
Texas Nhi Investors, LLC Organization, Murfreesboro, TN LLC Adp of the SNF Apr 1, 2017
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 1, 2016
Charles Bruce Stratton Individual Corporate OfficerPresident Liberty Co Hospital No 1 Feb 7, 2005
Liberty County Hospital District No 1 Organization, Liberty, TX 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Andrew Aho Individual Operational/Managerial Control Apr 1, 2017 100%
Managing Control - Governing BodyAdministrator Apr 1, 2017
Adp of the SNF Apr 1, 2017
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
David W Reininger Individual Operational/Managerial Control Jul 1, 2017
Managing Control - Governing BodyMedical Director Jul 1, 2017
Adp of the SNF Jul 1, 2017
Soon Burnam Individual Corporate OfficerSecretary of Management Company Apr 1, 2017

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 37

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

FacilityTypeRoleSince
Liberty Dayton Regional Medical CenterLiberty, TX, CCN 451375 Hospital Operational/Managerial Control Oct 1, 2014
Liberty Dayton Regional Medical CenterLiberty, TX, CCN 45Z375 Hospital Operational/Managerial Control Oct 1, 2014
Cascades at Senior RehabPort Arthur, TX, CCN 675541 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Jefferson Nursing and Rehabilitation CenterBeaumont, TX, CCN 676218 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 30, 2014
Jan 1, 2015
Mar 21, 2025
College Street Health Care CenterBeaumont, TX, CCN 675695 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Phoenix Post-AcuteTexas City, TX, CCN 675743 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Southland Rehabilitation and Healthcare CenterLufkin, TX, CCN 675962 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Timberwood Nursing and Rehabilitation CenterLivingston, TX, CCN 455745 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Bremond Nursing and Rehabilitation CenterBremond, TX, CCN 675132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Pine Grove Nursing CenterCenter, TX, CCN 675230 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Briarcliff Skilled Nursing FacilityCarthage, TX, CCN 676051 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Colonial Pines Healthcare CenterSan Augustine, TX, CCN 675358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Cass Valley Healthcare CenterCenterville, TX, CCN 675065 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2017
Harbor Point Skilled NursingTexas City, TX, CCN 675214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Heights of TomballTomball, TX, CCN 676350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Heights of TylerTyler, TX, CCN 676262 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at North HoustonHouston, TX, CCN 676356 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
East View HealthcareHouston, TX, CCN 676081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Copperfield Healthcare and RehabilitationHouston, TX, CCN 676230 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Misty Willow Healthcare and Rehabilitation CenterHouston, TX, CCN 676251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation-Northwest HoustonHouston, TX, CCN 676137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avalon Place KirbyvilleKirbyville, TX, CCN 675220 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Courtyards at PasadenaPasadena, TX, CCN 676155 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Bridgecrest Rehabilitation SuitesHouston, TX, CCN 676362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
River Pointe of Trinity Healthcare and Rehabilitation CenterTrinity, TX, CCN 675900 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2021
Legacy at Town CreekPalestine, TX, CCN 675998 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Pasadena Post AcutePasadena, TX, CCN 675365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Whisperwood Nursing & Rehabilitation CenterLubbock, TX, CCN 675527 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Vidor Health & Rehabilitation CenterVidor, TX, CCN 676108 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Fairfield Nursing & Rehabilitation CenterFairfeild, TX, CCN 676123 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Greenbrier Nursing & Rehabilitation Center of TylerTyler, TX, CCN 675267 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Twin Oaks Health & Rehabilitation CenterJacksonville, TX, CCN 675183 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Caprock Nursing & RehabilitationBorger, TX, CCN 676341 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Five Points Nursing and RehabilitationAmarillo, TX, CCN 676455 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Pine Tree Lodge Nursing CenterLongview, TX, CCN 675177 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Mesa Hills Post AcuteBrownsville, TX, CCN 455423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Liberty Dayton Medical ClinicLiberty, TX, CCN 673428 Rural health clinic Operational/Managerial Control May 4, 2015

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 3

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 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": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1659731081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506508",
            "telephone_number": "281-717-1302",
            "fax_number": "281-717-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506508",
            "telephone_number": "281-717-1302",
            "fax_number": "281-717-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COUNTY HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "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 AGENT",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "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": "Mason Creek Transitional Care of Katy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mason Creek Transitional Care of Katy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.