NPIMap

Organization Active NPI

Guadalupe County Hospital Board

Doing business as Legend Oaks Health and Rehabilitation - Kyle

  • Skilled Nursing Facility
  • Kyle, TX
National Provider Identifier
1669832903
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
Legend Oaks Health and Rehabilitation - Kyle
Practice address
1640 Fairway
Kyle, TX 78640-8791
Phone
(512) 268-1003
Fax
(512) 268-1132
NPI assigned
Feb 29, 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
Mrs. Soon Burnam
Title
Authorized Official
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

1640 Fairway
Kyle, TX 78640-8791

Mailing address

1640 Fairway
Kyle, TX 78640-8791
Phone (512) 268-1003

Other names 1

  • Legend Oaks Health and Rehabilitation - Kyle 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
O20170718000070 TX Part A Provider - Skilled Nursing Facility 5496653842 Practice locations: Kyle, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669832903. Details of each certification follow.

Skilled nursing facility certification: CCN 676272

Legal name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
LEGEND OAKS HEALTHCARE AND REHABILITATION - KYLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 8, 2011
Last certification
Sep 5, 2024
Beds
126
Ownership / control type
Limited Liability Corporation
Organization structure
GovernmentNon-profit
Enrollment address
1640 Fairway
Kyle, TX 78640-8791
Nursing home name
LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legend Oaks Healthcare and Rehabilitation-KyleCCN 676272 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 8, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
126115.9 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $8,407

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Guadalupe Hospital County Board41 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
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
Guadalupe County Hospital Board Organization, Seguin, TX 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Michael Lefkof Krol Individual Operational/Managerial Control May 1, 2016
Managing Control - Governing BodyMedical Director May 1, 2016
Adp of the SNF May 1, 2016
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Matthew Fowers Individual Operational/Managerial ControlAdministrator Mar 12, 2019
Managing Control - Governing BodyAdministrator Mar 12, 2019
Adp of the SNF Mar 12, 2019
Treaty Healthcare, Inc Organization, Kyle, TX Corporation Operational/Managerial Control Apr 1, 2017
Adp of the SNF Oct 7, 2025
Kody Gann Individual Corporate OfficerCfo Guadalupe County Hospital Board Feb 1, 2021
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.

  • Michael L. Krol, M.D.
    • Geriatric Medicine (Internal Medicine) Physician
    • Austin, TX
    • NPI 1841634854

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 28

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

FacilityTypeRoleSince
Guadalupe Regional Medical CenterSeguin, TX, CCN 45T104 Hospital Operational/Managerial Control Jan 1, 1975
Guadalupe Regional Medical CenterSeguin, TX, CCN 450104 Hospital Operational/Managerial Control Jan 1, 1975
Avir at SeguinSeguin, TX, CCN 675641 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Morningside ManorSan Antonio, TX, CCN 455523 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Park Place Care CenterGeorgetown, TX, CCN 675915 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Five Points of PflugervillePflugerville, TX, CCN 675913 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at SchertzSchertz, TX, CCN 676301 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2017
Avir at LulingLuling, TX, CCN 676292 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2017
Granite Mesa Health CenterMarble Falls, TX, CCN 676220 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
The Courtyard Rehabilitation and Healthcare CenterVictoria, TX, CCN 675766 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
San Marcos Rehabilitation and Healthcare CenterSan Marcos, TX, CCN 675651 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Legend Oaks Healthcare and Rehabilitation - North AustinAustin, TX, CCN 676238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Guadalupe County Hospital BoardNew Braunfels, TX, CCN 676392 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Hunters Pond Rehabilitation and HealthcareSan Antonio, TX, CCN 676331 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Hays Nursing and Rehabilitation CenterSan Marcos, TX, CCN 455960 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2020
Eden HomeNew Braunfels, TX, CCN 455618 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Trustee of the SNF		 May 1, 2021
May 1, 2021
Sedona Trace Health and Wellness CenterAustin, TX, CCN 676459 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2021
Northeast Rehabilitation and Healthcare CenterSan Antonio, TX, CCN 455754 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Avir at Bay CityBay City, TX, CCN 455643 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2022
Avir at BellvilleBellville, TX, CCN 676164 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2022
Avir at SealySealy, TX, CCN 676166 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Arbor View Nursing & RehabilitationKerrville, TX, CCN 455724 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 1, 2022
Nov 1, 2022
Nov 1, 2022
Avir at PecosPecos, TX, CCN 675881 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Westover Hills Rehabilitation and HealthcareSan Antonio, TX, CCN 676281 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Avir at LongviewLongview, TX, CCN 455678 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Avir at Cowhorn CreekTexarkana, TX, CCN 675949 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Avir at TexarkanaTexarkana, TX, CCN 676069 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Guadalupe Regional HospiceSeguin, TX, CCN 451541 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1991

Facilities with the same owner 28

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

View all 28

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 2

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1669832903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 FAIRWAY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786408791",
            "telephone_number": "512-268-1003",
            "fax_number": "512-268-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FAIRWAY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786408791",
            "telephone_number": "512-268-1003",
            "fax_number": "512-268-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "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 OFFICIAL",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "Legend Oaks Health and Rehabilitation - Kyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.