Organization Active NPI

Midland County Hospital District

Doing business as Ashton Medical Lodge

  • Skilled Nursing Facility
  • Midland, TX
National Provider Identifier
1790236198
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MIDLAND COUNTY HOSPITAL DISTRICT
Doing business as
Ashton Medical Lodge
Practice address
801 South Loop 250 West
Midland, TX 79703
Phone
(432) 689-2100
Fax
(972) 303-9700
NPI assigned
Oct 20, 2016
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Stephen Bowerman
Title
Ceo
Phone
(432) 221-4877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

801 South Loop 250 West
Midland, TX 79703

Mailing address

801 S Loop 250 W
Midland, TX 79703-2134
Phone (432) 689-2100

Other names 1

  • Ashton Medical Lodge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323002495 TX Part A Provider - Skilled Nursing Facility 6901709013 Practice locations: Midland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790236198. Details of each certification follow.

Skilled nursing facility certification: CCN 676430

Legal name
MIDLAND COUNTY HOSPITAL DISTRICT
Doing business as
ASHTON MEDICAL LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 10, 2017
Last certification
Feb 6, 2025
Beds
144
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Foursquare Healthcare
Organization structure
GovernmentProprietary
Enrollment address
801 S Loop 250 W
Midland, TX 79703-2134
Nursing home name
ASHTON MEDICAL LODGE

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: Nursing home

Medicare Care Compare
Listed as
Ashton Medical LodgeCCN 676430 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 10, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144131.9 residents per day on average
Penalties (3 years)
1Fines totaling $13,397

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
45D2135176Ashton Medical Lodge801 South Loop 250 West, Midland, TX 79703Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hosp Medical9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
David W Miller GS Trust Organization, Rockwall, TX Operational/Managerial Control Mar 1, 2023
SDL GS 5X5 Trust Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Kingsbury Capital LLC Series F Organization, Rockwall, TX LLC Operational/Managerial Control Mar 1, 2023
MNH-Inv Series LLC Series D Organization, Rockwall, TX LLC Operational/Managerial Control Mar 1, 2023
Jem 5X5 Trust Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Jeffrey Hunter Atkins Individual Adp of the SNF Mar 1, 2023
DWM 5X5 Trust Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Rockett, LP Organization, Dallas, TX Adp of the SNF Mar 1, 2023
RMM 5X5 Trust Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Stephen Bowerman Individual Corporate OfficerPresident Mar 1, 2023
Montague NH, LP Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Shane Delbert Lewis Individual Operational/Managerial ControlVP of Manager Mar 1, 2023
Lion Plaza LP Organization, Rockwall, TX Operational/Managerial Control Mar 1, 2023
Fairbrook Partners, LP Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Midland County Hospital District Organization, Midland, TX 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
John E Miller GS Trust Organization, Rockwall, TX Operational/Managerial Control Mar 1, 2023
Foursquare Texas 16 LLC Organization, Rockwall, TX LLC Operational/Managerial Control Mar 1, 2023 100%
Adp of the SNF Apr 23, 2025
Richard M Miller GS Trust Organization, Rockwall, TX Operational/Managerial Control Mar 1, 2023
Jec GS Trust Organization, Rockwall, TX Operational/Managerial Control Mar 1, 2023
Midland NH Realty LTD Organization, Dallas, TX Adp of the SNF Mar 1, 2023
Broderick Hampton Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
KJC GS Trust Organization, Rockwall, TX Operational/Managerial Control Mar 1, 2023

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Midland OdessaMidland, TX, CCN 453057 Hospital 5% Or Greater Indirect Ownership Interest (18%) Jul 1, 2021
Midland Memorial HospitalMidland, TX, CCN 450133 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Avir at MonahansMonahans, TX, CCN 675522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Focused Care at OdessaOdessa, TX, CCN 675751 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)
Apr 1, 2017
Nov 1, 2017
Apr 1, 2017
Focused Care at Hogan ParkMidland, TX, CCN 675910 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Apr 1, 2017
Apr 1, 2017
Focused Care at MidlandMidland, TX, CCN 675985 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Apr 1, 2017
Apr 1, 2017
Focused Care at Fort StocktonFort Stockton, TX, CCN 675722 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)
Apr 1, 2017
Apr 1, 2017
Apr 1, 2017
Madison Medical ResortOdessa, TX, CCN 676348 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 3

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 3

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": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1790236198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797032134",
            "telephone_number": "432-689-2100",
            "fax_number": "972-303-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH LOOP 250 WEST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79703",
            "telephone_number": "432-689-2100",
            "fax_number": "972-303-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-221-4877"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashton Medical Lodge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashton Medical Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.