NPIMap

Organization Active NPI

Nacogdoches County Hospital District

Doing business as Cecil R Bomar Rehabilitation Center

  • Rehabilitation Hospital
  • Nacogdoches, TX
National Provider Identifier
1780612754
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
000478 Issued in TX
Legal business name
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Doing business as
Cecil R Bomar Rehabilitation Center
Memorial Hospital Cecil R Bomar Rehab Facility
Practice address
1204 N Mound St
Nacogdoches, TX 75961-4027
Phone
(936) 564-4611
NPI assigned
Jun 29, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Rhonda McCabe, CPA
Title
Chief Financial Officer
Phone
(936) 568-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 000478 TX Primary

Addresses

Primary practice location

1204 N Mound St
Nacogdoches, TX 75961-4027

Mailing address

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

Other practice location 1

707 Woods St
Nacogdoches, TX 75961-4411
Phone (936) 568-4611

Other identifiers 1

IdentifierTypeStateIssuer
021798601MedicaidTX

Other names 2

  • Cecil R Bomar Rehabilitation Center Doing business as
  • Memorial Hospital Cecil R Bomar Rehab Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250210000320 TX Part A Provider - Hospital 0446151328 Practice locations: Nacogdoches, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780612754. Details of each certification follow.

Hospital certification: CCN 45T508

Legal name
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Doing business as
CECIL R. BOMAR REHABILITATION CENTER
Organization structure
OtherNon-profit
Enrollment address
707 Woods St
Nacogdoches, TX 75961-4411
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Memorial Hospital Cecil R. Bomar RehabCCN 45T508 · All quality measures
Ownership
For profit
Certified
Jun 30, 1996

National Provider Directory

National Provider Directory
Part of
Nacogdoces County Hospi

Locations

3219 Emerald Ln
Ste 1200
Jefferson Cty, MO 65109
Phone (800) 769-5288

1018 N Mound St
Ste 104
Nacogdoches, TX 75961
Phone (936) 564-4611

1018 N Mound St
Ste 201
Nacogdoches, TX 75961
Phone (936) 560-2763

1018 N Mound St
Ste 203
Nacogdoches, TX 75961
Phone (936) 560-2595

1018 N Mound St
Ste 206
Nacogdoches, TX 75961
Phone (936) 560-0707

1108 South St
Nacogdoches, TX 75964
Phone (936) 560-3097

1301 Raguet St
Nacogdoches, TX 75961
Phone (409) 560-3620

907 N Mound St
Nacogdoches, TX 75961
Phone (936) 560-9277

914 Raguet St
Nacogdoches, TX 75961

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/seminol-3b162432

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Nacogdoches County Hospital District Organization, Nacogdoches, TX Operational/Managerial Control Mar 11, 2024 100%
Lynn Lindsey Individual W-2 Managing EmployeeCfo Mar 11, 2024 100%
Rhonda D McCabe Individual Corporate OfficerCeo Mar 11, 2024 100%
W-2 Managing EmployeeAd; Mar 11, 2024

Owners & managing parties with NPI records 8

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
Nacogdoches Memorial HospitalNacogdoches, TX, CCN 45S508 Hospital Operational/Managerial Control (100%) Jul 1, 2015
Stonecreek Nursing & RehabilitationSan Augustine, TX, CCN 675729 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2017

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 28

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.

View all 28

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1780612754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-564-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-564-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Woods St",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759614411",
            "country_code": "US",
            "telephone_number": "936-568-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NACOGDOCHES COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "936-568-8525",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TX",
            "license": "000478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021798601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cecil R Bomar Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital Cecil R Bomar Rehab Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.