Fannin County Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FANNIN COUNTY HOSPITAL AUTHORITY

Practice address

2875 Shiloh Rd
Tyler, TX 75703-2936

Phone

(903) 561-1300

Fax

(903) 939-1754

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Authorized Representative

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• The Waterton Healthcare and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Skilled nursing facility certification: CCN 676193

Legal name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

THE WATERTON HEALTHCARE AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Sep 3, 2008

Last certification

Mar 26, 2025

Beds

92

Ownership / control type

Hospital District

Organization structure

OtherNon-profit

Incorporated

Nov 8, 2012 in TX

Enrollment address

2875 Shiloh Rd
Tyler, TX 75703-2936

Nursing home name

THE WATERTON HEALTHCARE & REHABILITATION

Affiliated entity

THE ENSIGN GROUP

Listed as

The Waterton Healthcare & RehabilitationCCN 676193

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - Hospital district

Certified

Sep 3, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9266.5 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Penalties (3 years)

2Fines totaling $23,389

Processed by Care Compare on Aug 1, 2026.

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.

• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Arlington, TX
  • NPI 1477674968
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bonham, TX
  • NPI 1487253365
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Waco, TX
  • NPI 1497876965
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1518293919
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • McAllen, TX
  • NPI 1528053238
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Selma, TX
  • NPI 1578911384
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Waco, TX
  • NPI 1609997279
  NPD tax ID
• Fannin County Hospital Authority

  • Surgery Physician
  • Bonham, TX
  • NPI 1619474293
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • College Station, TX
  • NPI 1619834314
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Malakoff, TX
  • NPI 1639945280
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Palestine, TX
  • NPI 1649402603
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Palestine, TX
  • NPI 1669205993
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Jennifer Wilson, DO

  • Family Medicine Physician
  • Chandler, TX
  • NPI 1477639219

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

All facility ownership & control disclosures 55

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

Facilities with the same owner 55

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

• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1033972427

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Levelland, TX
  • NPI 1063533511

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Weatherford, TX
  • NPI 1073634366

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1093176968

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1104470293

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Greenville, TX
  • NPI 1114388089

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Jefferson, TX
  • NPI 1124495486

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Terrell, TX
  • NPI 1124851456

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1134113947

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1144680471

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1194166132

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bullard, TX
  • NPI 1245070366

  Fannin County Hospital Authority

  CMS ownership

Practitioners 3

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

• James Mark Morris, MD

  • Family Medicine Physician
  • Rusk, TX
  • NPI 1871520577
  NPD (past)
• Danny Russell, MD

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1396310777
  NPD (past)
• Jennifer Wilson, DO

  • Family Medicine Physician
  • Chandler, TX
  • NPI 1477639219
  NPD (past)

Affiliated clinicians 5

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

• Thomas M Buzbee Jr., M.D.

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1770682619

  Nursing home

  Care Compare affiliation
• Lori Marie Duke, APRN, FNP-C

  • Family Nurse Practitioner
  • Texarkana, TX
  • NPI 1548014277

  Nursing home

  Care Compare affiliation
• Danny Fillip, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1992745053

  Nursing home

  Care Compare affiliation
• Kristen R Martin, MSN-NP

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1639765514

  Nursing home

  Care Compare affiliation
• Danny Russell, MD

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1396310777

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1679225296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 SHILOH RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032936",
            "telephone_number": "903-561-1300",
            "fax_number": "903-939-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SHILOH RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032936",
            "telephone_number": "903-561-1300",
            "fax_number": "903-939-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterton Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda L Falbo, PMHNP
• Madison Falgout
• Family Care Sitter Services
• Family First Pharmacy LP
• Wayne Bradshaw Fancher III, DPT, PT
• Paul M Fanning, MD
• David Pearce Fannon, MPAS, PA-C
• Concepcion Fanous, APRN, FNP-C
• Elias I Fanous Jr., MD
• Christian Paul Fant, RD

• All providers in Tyler, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.