Fannin County Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

676148 Issued in TX

Legal business name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

Peach Tree Place

Practice address

315 W Anderson St
Weatherford, TX 76086-5349

Phone

(817) 599-4181

NPI assigned

Apr 3, 2007

Last updated

Mar 7, 2022By 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

Judy Espitia

Title

Cfo

Phone

(432) 758-4945

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Peach Tree Place 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 1760503106. Details of each certification follow.

• CCN 676148 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676148

Legal name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

PEACH TREE PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 14, 2007

Last certification

Mar 7, 2024

Beds

59

Ownership / control type

Corporation

Most recent change of ownership

Apr 1, 2022

Organization structure

OtherNon-profit

Enrollment address

315 West Anderson Street
Weatherford, TX 76086-5349

Nursing home name

PEACH TREE PLACE

Affiliated entity

CREATIVE SOLUTIONS IN HEALTHCARE

Listed as

Peach Tree PlaceCCN 676148 · 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 - Corporation

Certified

Jun 14, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5935.6 residents per day on average

Chain

Creative Solutions in Healthcare149 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $149,221

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Fannin County Hospital Authority72 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

  dba Cedar Lake Wellness & Rehabilitation

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

  dba Trucare Living Centers

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

  dba Greenbrier Nursing & Rehabilitation Center of Palestine

  • Skilled Nursing Facility
  • Palestine, TX
  • NPI 1669205993
  NPD tax ID
• Fannin County Hospital Authority

  dba The Waterton Healthcare and Rehabilitation

  • Skilled Nursing Facility
  • Tyler, TX
  • NPI 1679225296
  NPD tax ID
• Fannin County Hospital Authority

  dba Texoma Healthcare Center

  • Skilled Nursing Facility
  • Sherman, TX
  • NPI 1679902282
  NPD tax ID
• Fannin County Hospital Authority

  dba TMCB Multi-Specialty Group

  • Anesthesiology Physician
  • Bonham, TX
  • NPI 1689272932
  NPD tax ID
• Fannin County Hospital Authority

  dba The Homestead of Denison

  • Skilled Nursing Facility
  • Denison, TX
  • NPI 1700642063
  NPD tax ID
• Fannin County Hospital Authority

  dba Park Highlands Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Athens, TX
  • NPI 1710008263
  NPD tax ID
• Fannin County Hospital Authority

  dba Capstone Healthcare of Hughes Springs

  • Skilled Nursing Facility
  • Hughes Springs, TX
  • NPI 1730910886
  NPD tax ID
• Fannin County Hospital Authority

  dba Pampa Nursing Center

  • Skilled Nursing Facility
  • Pampa, TX
  • NPI 1740301209
  NPD tax ID
• Fannin County Hospital Authority

  dba Dogwood Trails Manor

  • Skilled Nursing Facility
  • Woodville, TX
  • NPI 1750248357
  NPD tax ID
• Fannin County Hospital Authority

  dba Avir at Memorial

  • Skilled Nursing Facility
  • Denison, TX
  • NPI 1760689293
  NPD tax ID

Member of 1

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

• Seminole Hospital District of Gaines County Texas

  dba Seminole Community Pharmacy

  • Community/Retail Pharmacy
  • Seminole, TX
  • NPI 1427618461

  Member Of

  NPD member

All disclosed owners & managing parties 14

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.

• Kris H Wusterhausen, DO

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1780681114

  Adp of the SNF

  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

  dba Avir at Citizens Trail

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1033972427

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Levelland Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Levelland, TX
  • NPI 1063533511

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Weatherford

  • Skilled Nursing Facility
  • Weatherford, TX
  • NPI 1073634366

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Healthcare and Rehabilitation - Paris

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1093176968

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Treasure Hills Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1104470293

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Healthcare and Rehabilitation - Greenville

  • Skilled Nursing Facility
  • Greenville, TX
  • NPI 1114388089

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Jefferson

  • Skilled Nursing Facility
  • Jefferson, TX
  • NPI 1124495486

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Terrell

  • Skilled Nursing Facility
  • Terrell, TX
  • NPI 1124851456

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Heritage Plaza Nursing Center

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1134113947

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Oaks Healthcare and Rehabilitation Center Gladewater

  • Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1144680471

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba La Dora Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1194166132

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Bluebonnet Point Wellness

  • Skilled Nursing Facility
  • Bullard, TX
  • NPI 1245070366

  Fannin County Hospital Authority

  CMS ownership

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.

• Kris H Wusterhausen, DO

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1780681114
  NPD (past)

Affiliated clinicians 1

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

• Kris H Wusterhausen, DO

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1780681114

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1760503106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865349",
            "telephone_number": "817-599-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "ESPITIA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "432-758-4945"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "117601",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "117601",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "676148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach Tree Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peach Tree Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyeco PLLC
• Eyemasters of Texas, LTD (EyeMasters)
• Kaylan Leigh Fagley, DPT
• Maryam Fallahi, MD
• Fannin County Hospital Authority (Avir at Weatherford)
• Daisy Favela, BCBA
• Jill A Feezell, DO
• Noel Thomas Fell, ACNP-A/G
• Cynthia L Felton, COTA
• Linda Ann Felts

• Skilled Nursing Facility in Weatherford, TX
• Providers in Weatherford, 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 Mar 7, 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.