Eastland Memorial Hospital District
Organization Active NPI Skilled Nursing Facility · Fort Worth, TX
NPI 1669929642 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1669929642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Practice address
- 4240 Golden Triangle Boulevard
Fort Worth, TX 76244 - Phone
- (817) 380-6400
- Fax
- (817) 380-6405
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Soon Burnam
- Title
- Treasurer of Management Company
- Phone
- (949) 540-1249
Owners & managing parties with NPI records 1
-
Kris D Porter, MD
Corporate family (same tax ID) 37
Facilities with the same owner 36
Practitioners 4
-
Kris D Porter, MD
-
Syed A Hassan, M.D.
Affiliated clinicians 3
-
Kris D Porter, MD
-
Syed A Hassan, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Legend Oaks Healthcare and Rehabilitation - Fort W
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 2017
- Medicare certification status
- Active
- Certified beds
- 132 · 106.7 residents per day on average
- Chain
- The Ensign Group
- Penalties (3 years)
- 6 · fines totaling $77,433
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2137054 | Legend Oaks Healthcare and Rehabilitation | Certificate of waiver | Sep 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 676426
- Legal name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Doing business as
- LEGEND OAKS HEALTHCARE AND REHABILITATION - FORT WORTH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 1, 2017
- Last certification
- Dec 19, 2024
- Beds
- 132
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Keystone
- Organization structure
- Government · Non-profit
- Enrollment address
- 4240 Golden Triangle Blvd
Fort Worth, TX 76244-4843 - Nursing home name
- LEGEND OAKS HEALTHCARE AND REHABILITATION - FORT WORTH
- Affiliated entity
- THE ENSIGN GROUP
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| National Health Investors, Inc. |
Adp of the SNF | Jun 1, 2017 | |
| Texas Nhi Investors, LLC |
Adp of the SNF | Jun 1, 2017 | |
| Christopher Cantrell |
Operational/Managerial Control |
Jun 1, 2017 | |
| Managing Control - Governing Body |
Jun 1, 2017 | ||
| Adp of the SNF | Jun 1, 2017 | ||
| Eastland Memorial Hospital District |
5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 100% |
| Ensign Services Inc |
Adp of the SNF | Jun 1, 2017 | |
| Stephen C Taylor |
Corporate Officer |
Jul 1, 2025 | |
| Chad Keetch |
Corporate Officer |
Mar 1, 2011 | |
| Kris D Porter |
Operational/Managerial Control | Oct 23, 2023 | |
| Managing Control - Governing Body |
Oct 23, 2023 | ||
| Adp of the SNF | Oct 23, 2023 | ||
| NB Brown Rock Healthcare, Inc. |
Operational/Managerial Control | Apr 1, 2019 | 100% |
| Adp of the SNF | Aug 15, 2025 | ||
| Soon Burnam |
Corporate Officer |
Mar 2, 2016 |
All facility ownership & control disclosures 36
| Facility | Type | Role | Since |
|---|---|---|---|
| Eastland Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 20, 2023 Mar 20, 2023 |
| Eastland Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 20, 2023 Mar 20, 2023 |
| Northern Oaks Living and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| Avir at Cisco |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 28, 2015 |
| Willowbend Nursing and Rehabilitation Center. |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Wisteria Place |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| The Woodlands |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 28, 2015 |
| Golden Acres Living and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Heritage Gardens Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Lake Village Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mesa Springs Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Westpark Rehabilitation and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Carrollton Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Wellington Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Fort Worth |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Green Valley Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Cross Timbers Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Itasca |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2017 |
| Richland Hills Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Hillsboro |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2017 |
| Terrell Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Legend Oaks Healthcare and Rehabilitation - Waxahachie |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Legend Oaks Healthcare and Rehabilitation - Garland |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| The Villages of Dallas |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Keller Oaks Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2019 |
| Pleasant Manor Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
| Crestwood Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
| The Oaks at Radford Hills Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Ridgecrest Retirement and Healthcare Community |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Pleasant Valley Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2022 |
| McKinney Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Windsor Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Beacon Harbor Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Rowlett Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Emh Regional Healthcare Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
| Eastland Memorial Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190430002808 | TX | Part a Provider - Skilled Nursing Facility | 3072412725 | Practice locations: Fort Worth, TX |
National Provider Directory
- Tax ID family
- Eastland Memorial Hospi
Locations
4200 Golden Triangle Blvd
Fort Worth, TX 76244
Phone (817) 380-6400
4240 Golden Triangle Blvd
#Forth
Fort Worth, TX 76244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | TX | Yes |
Addresses
Primary practice location
4240 Golden Triangle Boulevard
Fort Worth, TX 76244
Mailing address
27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518
Phone (817) 380-6400
Other names
- Legend Oaks Healthcare and Rehabilitation-Fort Worth
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Fort Worth, TX
- Christie Eastep
- Easter Seals North Texas Inc.
- Jared Easterling
- Larry E Easterling
- Eastland Memorial Hospital District
- Eastland Memorial Hospital District
- Eastland Nursing Operations, LLC
- Eastside Chiropractic, PC
- Amber Lane Eastwood
- Calvin Eastwood
All providers in Fort Worth, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.