Organization Active NPI

Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Palestine, TX
National Provider Identifier
1669205993
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FANNIN COUNTY HOSPITAL AUTHORITY
Practice address
2404 State Highway 155
Palestine, TX 75803-8524
Phone
(903) 729-6024
Fax
(682) 257-8868
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Gary Blake
Title
Manager
Phone
(817) 348-8959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2404 State Highway 155
Palestine, TX 75803-8524

Mailing address

4150 International PLZ Ste 200
Fort Worth, TX 76109-4875
Phone (817) 348-8959

Other names 1

  • Greenbrier Nursing & Rehabilitation Center of Palestine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701001346 TX Part A Provider - Skilled Nursing Facility 6002054764 Practice locations: Palestine, TX

Skilled nursing facility certification: CCN 675816

Legal name
FANNIN COUNTY HOSPITAL AUTHORITY
Doing business as
GREENBRIER NURSING & REHABILITATION CENTER OF PALESTINE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 21, 1999
Last certification
Nov 6, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Creative Solution in Healthcare
Organization structure
GovernmentProprietary
Enrollment address
2404 State Highway 155
Palestine, TX 75803-8524
Nursing home name
GREENBRIER NURSING & REHABILITATION CENTER OF PALESTINE
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greenbrier Nursing & Rehabilitation Center of PaleCCN 675816
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 21, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12046.5 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Fannin Cnty Hosp Authority70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Malisa a Blake Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Juanita Johnson Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Gary R Blake Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Monica Kissling Individual Corporate DirectorVice President Oct 1, 2024
Managing Control - Governing BodyVice President Oct 1, 2024
Linda F Huggins Individual Corporate DirectorVice President of Accounts Recei Oct 1, 2024
Operational/Managerial Control Oct 4, 2024
Adp of the SNF Oct 1, 2024
Kelly Trompler Individual Corporate OfficerBoard Member Oct 1, 2024
Managing Control - Governing BodyBoard Member Oct 1, 2024
Clark R Sanderson Individual Corporate Director Oct 1, 2024
Managing Control - Governing BodyPresident Oct 1, 2024
Palestine I Enterprises, LLC Organization, Fort Worth, TX LLC, Management services company Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Fannin County Hospital Authority Organization, Bonham, TX 5% Or Greater Direct Ownership Interest Oct 1, 2024 100%
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC, Holding company Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Oct 1, 2024 100%
Wendy Keeton Individual Corporate DirectorBoard Member Oct 1, 2024
Managing Control - Governing BodyBoard Member Oct 1, 2024
Erin Holt Individual Corporate DirectorBoard Memeber Oct 1, 2024
Managing Control - Governing BodyBoard Member Oct 1, 2024
Patricia McBean Individual Corporate DirectorSecretary Oct 1, 2024
Managing Control - Governing BodySecretary Oct 1, 2024
Khoren Hekimian Individual Adp of the SNF Jul 1, 2025
Zachary Willig Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

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 55

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

FacilityTypeRoleSince
TMC Bonham HospitalBonham, TX, CCN 451370 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Jan 1, 2013
Jan 1, 2013
TMC Bonham HospitalBonham, TX, CCN 45Z370 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2013
Reunion Plaza Senior Care and Rehabilitation CenterTexarkana, TX, CCN 675444 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Heritage Plaza Nursing CenterTexarkana, TX, CCN 675561 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Avir at AthensAthens, TX, CCN 455834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Wylie Oaks Healthcare and RehabilitationWylie, TX, CCN 676248 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
La Dora Nursing and Rehabilitation CenterBedford, TX, CCN 675934 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
Fannin County Hospital AuthorityParis, TX, CCN 676190 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Interlochen Health and Rehabilitation CenterArlington, TX, CCN 455835 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Avir at the MeadowDallas, TX, CCN 455463 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Pleasant Springs Healthcare CenterMt Pleasant, TX, CCN 455532 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Longmeadow Healthcare CenterJustin, TX, CCN 675185 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Texoma Healthcare CenterSherman, TX, CCN 455573 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Downtown Health and Rehabilitation CenterFort Worth, TX, CCN 455651 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
North Park Health and Rehabilitation CenterMcKinney, TX, CCN 675196 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Legend Oaks Healthcare and Rehabilitation-ParisParis, TX, CCN 676049 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation-GladewaterGladewater, TX, CCN 676048 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation-GreenvilleGreenville, TX, CCN 675774 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Park Highland Nursing & Rehabilitation CenterAthens, TX, CCN 675460 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Ennis Care CenterEnnis, TX, CCN 455486 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Avir at JeffersonJefferson, TX, CCN 675241 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Trucare Living CentersPalestine, TX, CCN 676257 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
Veranda Rehabilitation and HealthcareHarlingen, TX, CCN 455925 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Trucare Living Center-SelmaSelma, TX, CCN 676406 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
Village Healthcare and RehabilitationMcAllen, TX, CCN 675689 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2020
Avir at Walnut SpringsSeguin, TX, CCN 675656 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Avir at KingslandKingsland, TX, CCN 676035 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Avir at CenterCenter, TX, CCN 455550 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
The Waterton Healthcare and RehabilitationTyler, TX, CCN 676193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Harbor Valley Health and RehabilitationSan Antonio, TX, CCN 676478 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
Levelland Nursing and Rehabilitation CenterLevelland, TX, CCN 675329 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Bangs Nursing and RehabilitationBangs, TX, CCN 675377 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Pampa Nursing CenterPampa, TX, CCN 675327 Skilled nursing facility 5% Or Greater Direct Ownership Interest Apr 1, 2022
Greenview Nursing and RehabilitationWaco, TX, CCN 455638 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Peach Tree PlaceWeatherford, TX, CCN 676148 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
The Park in PlanoPlano, TX, CCN 675113 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Lakeshore Village Nursing and RehabilitationWaco, TX, CCN 675438 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Avir at DallasDallas, TX, CCN 676215 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Avir at WeatherfordWeatherford, TX, CCN 455574 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Treasure Hills Healthcare and Rehabilitation CenterHarlingen, TX, CCN 675933 Skilled nursing facility 5% Or Greater Direct Ownership Interest Dec 1, 2023
Grand Terrace Rehabilitation and HealthcareMcAllen, TX, CCN 455586 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
McAllen Transitional Care CenterMcAllen, TX, CCN 676042 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Alta Vista Rehabilitation and HealthBrownsville, TX, CCN 455625 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Cedar Lake Nursing CenterMalakoff, TX, CCN 675898 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Trucare Living Centers ColumbusColumbus, TX, CCN 676229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
The Homestead of DenisonDenison, TX, CCN 675212 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Bluebonnet Point WellnessBullard, TX, CCN 676494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Avir at Citizens TrailTexarkana, TX, CCN 675958 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2024
Jun 1, 2024
Woodlands Place Rehabilitation SuitesDenison, TX, CCN 676394 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024
Belterra Health & RehabMcKinney, TX, CCN 676367 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2025
Crossroads Nursing & RehabilitationHearne, TX, CCN 676385 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Countryview Nursing & RehabilitationTerrell, TX, CCN 675105 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Windmill Village Rehabilitation & Care CenterLubbock, TX, CCN 676318 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
North Star Ranch Rehabilitation and Healthcare CenterBonham, TX, CCN 675471 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025
May 1, 2025
Rockdale Estates & RehabilitationRockdale, TX, CCN 676093 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025

Facilities with the same owner 55

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

View all 55

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1669205993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094875",
            "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": "2404 STATE HIGHWAY 155",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038524",
            "telephone_number": "903-729-6024",
            "fax_number": "682-257-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-348-8959"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbrier Nursing & Rehabilitation Center of Palestine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.