NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

Doing business as Avir at Killeen

  • Skilled Nursing Facility
  • Killeen, TX
National Provider Identifier
1700307964
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
Avir at Killeen
Practice address
5000 Thayer Dr
Killeen, TX 76549
Phone
(254) 221-6380
NPI assigned
Jun 28, 2017
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
David Byrom
Title
Ceo
Phone
(254) 248-6245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5000 Thayer Dr
Killeen, TX 76549

Mailing address

5000 Thayer Dr
Killeen, TX 76549-6711
Phone (254) 221-6380

Other names 1

  • Avir at Killeen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410000487 TX Part A Provider - Skilled Nursing Facility 6507982717 Practice locations: Killeen, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700307964. Details of each certification follow.

Skilled nursing facility certification: CCN 676438

Legal name
CITY OF ENNIS
Doing business as
KILLEEN NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 25, 2018
Last certification
Apr 17, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Avir Health Group
Most recent change of ownership
Apr 1, 2020
Organization structure
GovernmentNon-profit
Enrollment address
5000 Thayer Dr
Killeen, TX 76549-6711

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avir at KilleenCCN 676438 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 25, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12096.9 residents per day on average
Penalties (3 years)
6Fines totaling $65,560

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2164945Avir at Killeen5000 Thayer Dr, Killeen, TX 76549Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mills County Medical CL39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Jennifer Renee Anderson Individual W-2 Managing EmployeeAdministrator Apr 1, 2020
City of Ennis Organization, Ennis, TX 5% Or Greater Direct Ownership Interest Apr 1, 2020 100%
Stephen Barnes Individual Corporate DirectorCity Manager Apr 1, 2020
Bell Nursing Operations LLC Organization, Ft Worth, TX LLC Operational/Managerial Control Apr 1, 2020

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Trinity Nursing & Rehab of GranburyGranbury, TX, CCN 675084 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 10, 2021
Parkwood in the PinesLufkin, TX, CCN 455673 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1700307964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 THAYER DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496711",
            "telephone_number": "254-221-6380",
            "fax_number": "254-698-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-221-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Killeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.