NPIMap

Organization Active NPI

West Wharton County Hospital District

Doing business as Buena Vida Nursing & Rehab Odessa

  • Skilled Nursing Facility
  • Odessa, TX
National Provider Identifier
1740973023
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Doing business as
Buena Vida Nursing & Rehab Odessa
Practice address
3800 Englewood LN
Odessa, TX 79762-7073
Phone
(432) 362-2583
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
David H Mak
Title
Chief Financial Officer
Phone
(713) 569-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3800 Englewood LN
Odessa, TX 79762-7073

Mailing address

4150 International PLZ Ste 600
Fort Worth, TX 76109-4831
Phone (817) 348-8959

Other names 1

  • Buena Vida Nursing & Rehab Odessa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113001443 TX Part A Provider - Skilled Nursing Facility 5395199723 Practice locations: Odessa, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740973023. Details of each certification follow.

Skilled nursing facility certification: CCN 675145

Legal name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Doing business as
BUENA VIDA NURSING & REHAB ODESSA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 29, 1993
Last certification
Jun 27, 2024
Beds
117
Ownership / control type
Corporation
Multi-facility organization
Creative Solutions to Healthcare
Organization structure
OtherProprietary
Enrollment address
3800 Englewood LN
Buena Vida Nursing & Rehab Odessa
Odessa, TX 79762-7073
Nursing home name
BUENA VIDA NURSING & REHAB ODESSA
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Buena Vida Nursing & Rehab OdessaCCN 675145 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11782.0 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
1Fines totaling $8,724

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
West Wharton County Hos104 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.

View all 24

Member of 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Richard Kerzee Individual Managing Control - Governing BodyVice Chairman Sep 24, 2007
Johnny Thompson Individual Corporate OfficerAdministrator Jan 1, 2024
Malisa a Blake Individual Operational/Managerial ControlMember Jul 1, 2023 50%
Odessa I Enterprises LLC Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control Aug 1, 2019 100%
Adp of the SNF Apr 10, 2025
Patricia a Korenek Individual Managing Control - Governing BodyBoard Member May 5, 2018
Gary R Blake Individual Operational/Managerial ControlManaging Member Jul 1, 2023 50%
Adp of the SNF Jul 1, 2023
Paul Soechting Individual Managing Control - Governing BodyBoard Member Nov 22, 2024
Stephen Cooper Individual Managing Control - Governing BodyChairman Nov 11, 2022
Sean Bowers Individual Managing Control - Governing BodyBoard Member Jul 1, 2024
Linda F Huggins Individual Corporate DirectorV.P. of Accounts Receivable Jul 1, 2023
West Wharton County Hospital District Organization, El Campo, TX For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2019 100%
Silvia Casas Individual Adp of the SNF Mar 26, 2025
Joe Strack Individual Managing Control - Governing BodyBoard Member Feb 11, 2022
Travis Cobb Individual Managing Control - Governing BodyTreasurer Oct 5, 2022
Chittur V Ramanathan Individual Adp of the SNF Jan 1, 2025
West Wharton County Hospital District Organization, El Campo, TX Direct Ownership Interest Aug 1, 2019 100%
Sherrie Hardin Individual Managing Control - Governing BodyBoard Member Sep 4, 2024
Zachary Willig Individual Corporate DirectorLicensing Manager Jul 1, 2023
Alfred Cisneros Individual Managing Control - Governing BodySecretary Feb 18, 2008

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
University Park Nursing & RehabilitationWichita Falls, TX, CCN 455916 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Mullican Care CenterSavoy, TX, CCN 675439 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Southern Oaks Therapy and Living CenterDallas, TX, CCN 745056 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

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 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": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1740973023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-348-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ENGLEWOOD LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627073",
            "telephone_number": "432-362-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WHARTON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-569-7370"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vida Nursing & Rehab Odessa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.