Winnie-Stowell Hospital District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109288 Issued in TX

Legal business name

WINNIE-STOWELL HOSPITAL DISTRICT

Doing business as

Park Manor of Conroe

Practice address

1600 Grand Lake Dr
Conroe, TX 77304-2834

Phone

(936) 441-8266

Fax

(936) 441-2956

NPI assigned

Nov 14, 2005

Last updated

Jun 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Laurce C. Daspit

Title

Manager

Phone

(281) 419-5520

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Park Manor of Conroe Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669454963. Details of each certification follow.

• CCN 675894 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675894

Legal name

WINNIE-STOWELL HOSPITAL DISTRICT

Doing business as

PARK MANOR OF CONROE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 5, 2001

Last certification

Apr 5, 2024

Beds

125

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Healthmark Group, LLC

Organization structure

GovernmentNon-profit

Enrollment address

1600 Grand Lake Dr
Conroe, TX 77304-2834

Nursing home name

PARK MANOR OF CONROE

Listed as

Park Manor of ConroeCCN 675894 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 5, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

125119.2 residents per day on average

Penalties (3 years)

1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Winnie-Stowell Hospital District74 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.

• Hsmtx/Sugar Land LLC

  dba Sugar Land Health Care Center

  • Skilled Nursing Facility
  • Sugar Land, TX
  • NPI 1730281585
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Park Manor of Humble

  • Skilled Nursing Facility
  • Humble, TX
  • NPI 1528040839
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Richmond Health Care Center

  • Skilled Nursing Facility
  • Richmond, TX
  • NPI 1538261359
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Conroe Health Care Center

  • Skilled Nursing Facility
  • Conroe, TX
  • NPI 1548362387
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Liberty Health Care Center

  • Skilled Nursing Facility
  • Liberty, TX
  • NPI 1548362395
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Mont Belvieu Rehabilitation & Healthcare Center

  • Skilled Nursing Facility
  • Mont Belvieu, TX
  • NPI 1588221667
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Oak Grove Nursing Home

  • Skilled Nursing Facility
  • Groves, TX
  • NPI 1609189406
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Seabreeze Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Texas City, TX
  • NPI 1619593985
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Marshall Manor Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Marshall, TX
  • NPI 1629486717
  NPD tax ID
• Winnie-Stowell Hospital District

  dba The Villa at Texarkana

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1639569734
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Avir at Coronado

  • Skilled Nursing Facility
  • Abilene, TX
  • NPI 1649251026
  NPD tax ID
• Winnie-Stowell Hospital District

  dba Afton Oaks Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1659369627
  NPD tax ID

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 2

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

• Abbas H Jafri, MD

  • Internal Medicine Physician
  • Spring, TX
  • NPI 1891798161

  Adp of the SNF

  CMS ownership
• Ather J Siddiqi, MD

  • Pulmonary Disease Physician
  • The Woodlands, TX
  • NPI 1700874716

  Adp of the SNF

  CMS ownership

All facility ownership & control disclosures 77

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

Facilities with the same owner 163

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

• Methodist Transitional Care Center-Desoto LLC

  • Skilled Nursing Facility
  • Desoto, TX
  • NPI 1043878069

  Cibc Bank USA, Forvis Mazars LLP

  CMS ownership
• Winnie-Stowell Hospital District

  dba Cimarron Place Health & Rehabilitation

  • Skilled Nursing Facility
  • Corpus Christi, TX
  • NPI 1073587812

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Lone Star Rehabilitation & Wellness Center

  • Skilled Nursing Facility
  • Stephenville, TX
  • NPI 1134794795

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Friendship Haven Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Friendswood, TX
  • NPI 1194142042

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Silver Spring

  • Skilled Nursing Facility
  • Abilene, TX
  • NPI 1215342316

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Accel at College Station

  • Skilled Nursing Facility
  • College Station, TX
  • NPI 1215460332

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Stallings Court Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Nacogdoches, TX
  • NPI 1265007827

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Harbor Lakes Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Granbury, TX
  • NPI 1306411061

  Cibc Bank USA

  CMS ownership
• Winnie-Stowell Hospital District

  dba Arbrook Plaza

  • Skilled Nursing Facility
  • Arlington, TX
  • NPI 1386638237

  Cibc Bank USA, Forvis Mazars LLP

  CMS ownership
• Winnie-Stowell Hospital District

  dba Park Manor The Woodlands

  • Skilled Nursing Facility
  • The Woodlands, TX
  • NPI 1497069108

  Cibc Bank USA, Forvis Mazars LLP

  CMS ownership
• Winnie-Stowell Hospital District

  dba Park Manor of Humble

  • Skilled Nursing Facility
  • Humble, TX
  • NPI 1528040839

  Cibc Bank USA, Forvis Mazars LLP

  CMS ownership
• Winnie-Stowell Hospital District

  dba Green Oaks Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Arlington, TX
  • NPI 1639744394

  Cibc Bank USA

  CMS ownership

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.

• Adel Asaad Ibrahim, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1942466826
  NPD (past)
• Abbas H Jafri, MD

  • Internal Medicine Physician
  • Spring, TX
  • NPI 1891798161
  NPD (past)
• Tricia Punsalan, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1003020504
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adel Asaad Ibrahim, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1942466826

  Nursing home

  Care Compare affiliation
• Abbas H Jafri, MD

  • Internal Medicine Physician
  • Spring, TX
  • NPI 1891798161

  Nursing home

  Care Compare affiliation
• Tricia Punsalan, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1003020504

  Nursing home

  Care Compare affiliation
• Hunain Aslam, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Iowa City, IA
  • NPI 1023634060

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1669454963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 HUGHES LANDING BLVD STE 500",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804009",
            "telephone_number": "281-419-5520",
            "fax_number": "281-419-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GRAND LAKE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042834",
            "telephone_number": "936-441-8266",
            "fax_number": "936-441-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNIE-STOWELL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "DASPIT",
        "authorized_official_first_name": "LAURCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-419-5520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5422",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001028728",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Manor of Conroe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Manor of Conroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth L Winaker, M.D.
• Emily Winans, PHARMD
• Kevin Ronald Windecker, MD
• Lisa Marie Winkworth, LCSW
• Winnie-Stowell Hospital District (Conroe Health Care Center)
• Heather Amber Winter, RPH, PHARMD
• Pat A Wisniowiecki, RD,LD
• Anne S. Witson, M.D.
• WM Senior Care LLC
• Kristin Rose Wolf, M.D.

• Skilled Nursing Facility in Conroe, TX
• Providers in Conroe, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.

Verify at the official NPI Registry.