Summit LTC San Augustine, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUMMIT LTC SAN AUGUSTINE, LLC

Doing business as

Summit Nursing & Rehab of San Augustine
Trinity Nursing & Rehabilitation

Practice address

902 E Main St
San Augustine, TX 75972-2316

Phone

(936) 275-2055

NPI assigned

Oct 24, 2016

Last updated

Feb 13, 2020By 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

Christopher M Slimmer

Title

Manager

Phone

(817) 681-4811

Specialties & licenses 1

Addresses

Other names 2

• Summit Nursing & Rehab of San Augustine Doing business as
• Trinity Nursing & Rehabilitation 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 1730630831. Details of each certification follow.

• CCN 675846 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675846

Legal name

SUMMIT LTC SAN AUGUSTINE LLC

Doing business as

SUMMIT NURSING & REHAB OF SAN AUGUSTINE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Oct 12, 2000

Last certification

Mar 5, 2025

Beds

88

Ownership / control type

Corporation

Multi-facility organization

Avir Healthcare

Organization structure

LLCProprietary

Incorporated

Oct 13, 2016 in TX

Enrollment address

902 E Main St
San Augustine, TX 75972-2316

Listed as

Avir at San AugustineCCN 675846 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 12, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8838.0 residents per day on average

Penalties (3 years)

3Fines totaling $102,752

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

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.

• Deepti A Govathoti, MD

  • Family Medicine Physician
  • Carthage, TX
  • NPI 1316190754

  Adp of the SNF

  CMS ownership
• Ahammed Hashim, M.D.

  • Pulmonary Disease Physician
  • Nacogdoches, TX
  • NPI 1235134420

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

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

• Summit LTC Arlington LLC

  dba Greenbrier Health Care Center

  • Skilled Nursing Facility
  • Arlington, TX
  • NPI 1518695659

  Summit LTC Management LLC

  CMS ownership
• Summit LTC San Antonio, LLC

  dba Sunrise Nursing & Rehab Center

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1679091508

  Summit LTC Management LLC

  CMS ownership

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.

• Deepti A Govathoti, MD

  • Family Medicine Physician
  • Carthage, TX
  • NPI 1316190754
  NPD (past)
• Ahammed Hashim, M.D.

  • Pulmonary Disease Physician
  • Nacogdoches, TX
  • NPI 1235134420
  NPD (past)

Affiliated clinicians 3

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

• Deepti A Govathoti, MD

  • Family Medicine Physician
  • Carthage, TX
  • NPI 1316190754

  Nursing home

  Care Compare affiliation
• Ahammed Hashim, M.D.

  • Pulmonary Disease Physician
  • Nacogdoches, TX
  • NPI 1235134420

  Nursing home

  Care Compare affiliation
• John H Oglesbee III, M.D.

  • Family Medicine Physician
  • San Augustine, TX
  • NPI 1265412787

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1730630831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 VIRGINIA PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E MAIN ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759722316",
            "telephone_number": "936-275-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LTC SAN AUGUSTINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "SLIMMER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-681-4811"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Nursing & Rehab of San Augustine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Augustine Pharmacy1St LLC (San Augustine Drug Company)
• Malaika Ilene Sigler, LVN
• SNG - San Augustine Dialysis Center LP
• Jeffrey Emery Sterling, MD
• Rebecca Lynn Stewart, LVN
• Conchetta Taylor
• Texas Quick Care, LLC
• The Loving Way Transportation LLC
• Trinity Nursing and Rehabilitation, LP
• Trinity R&R I LP (Trinity Rehabilitation and Retirement Community of San Augustine)

• Skilled Nursing Facility in San Augustine, TX
• Providers in San Augustine, 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 Feb 13, 2020; 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.