NPIMap

Organization Active NPI

Hopkins County Hospital District

  • Skilled Nursing Facility
  • Tyler, TX
National Provider Identifier
1770970543
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOPKINS COUNTY HOSPITAL DISTRICT
Practice address
2450 E 5TH St
Tyler, TX 75701-3525
Phone
(972) 899-4401
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Brent Smith, LP
Title
Ceo
Phone
(903) 348-0477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2450 E 5TH St
Tyler, TX 75701-3525

Mailing address

116 Airport Rd
Sulphur Springs, TX 75482-2106
Phone (903) 485-0050

Other names 1

  • Park Place Nursing & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170510001832 TX Part A Provider - Skilled Nursing Facility 6800707076 Practice locations: Tyler, TX

Skilled nursing facility certification: CCN 676005

Legal name
HOPKINS COUNTY HOSPITAL DISTRICT
Doing business as
PARK PLACE NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 9, 2004
Last certification
May 5, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Tyler SNF Operations
Organization structure
GovernmentNon-profit
Enrollment address
2450 E 5TH St
Tyler, TX 75701-3525
Nursing home name
PARK PLACE NURSING & REHABILITATION CENTER

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Park Place Nursing & Rehabilitation CenterCCN 676005
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
Mar 9, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12084.5 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $287,159

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
45D0680601Park Place Nursing & Rehabilitation Center2450 East Fifth Street, Tyler, TX 75701Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hopkins County Memorial14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
John T McKeehan Individual W-2 Managing EmployeeExecutive Director/Administrator May 16, 2016
Michael Brent Smith Individual Corporate OfficerCeo Oct 1, 2022
Tyler PP Operations LLC Organization, Lewisville, TX LLC, Management services company, For-profit Operational/Managerial Control Mar 31, 2017
Joe Bob Burgin Individual Corporate DirectorBoard Member Jan 1, 1998
Kerry Law Individual Corporate OfficerPresident Jul 18, 2016
Corporate DirectorMember Board of Directors Jul 18, 2016
Hopkins County Hospital District Organization, Sulphur Springs, TX Non-profit Operational/Managerial Control Mar 31, 2017
Tammy Wright Individual Corporate DirectorBoard Member Dec 6, 2021
Kristi Shultz Individual Corporate DirectorBoard Member Aug 19, 2019
Christopher Brown Individual Corporate DirectorBoard Member May 28, 2019
Eimy Medina Individual Corporate DirectorMember Dec 6, 2021
David E Black Individual Corporate OfficerSecretary May 1, 2012
Corporate DirectorBoard Member May 1, 2012

Owners & managing parties with NPI records 5

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
Longview Hill Nursing and Rehabilitation CenterLongview, TX, CCN 455684 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 16, 2014
Aug 27, 2025
Colonial Nursing & Rehabilitation CenterLindale, TX, CCN 675563 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Avir at MineolaMineola, TX, CCN 675668 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1770970543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AIRPORT RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822106",
            "telephone_number": "903-485-0050",
            "fax_number": "903-485-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013525",
            "telephone_number": "972-899-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-348-0477",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Place Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.