NPIMap

Organization Active NPI

PH Ops of Dallas LLC

Doing business as Pure Health Transitional Care at Texas Health Presbyterian

  • Skilled Nursing Facility
  • Dallas, TX
National Provider Identifier
1790422822
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PH OPS OF DALLAS LLC
Doing business as
Pure Health Transitional Care at Texas Health Presbyterian
Practice address
8200 Walnut Hill LN # 5
Dallas, TX 75231-4402
Phone
(214) 345-7500
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Siobaughn Fraser
Title
Director of Finance
Phone
(565) 801-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

8200 Walnut Hill LN # 5
Dallas, TX 75231-4402

Mailing address

784 US Highway 1 Ste 22
North Palm Beach, FL 33408-4411
Phone (561) 801-4235

Other names 1

  • Pure Health Transitional Care at Texas Health Presbyterian Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907001897 TX Part A Provider - Skilled Nursing Facility 5991189144 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790422822. Details of each certification follow.

Skilled nursing facility certification: CCN 676410

Legal name
PH OPS OF DALLAS LLC
Doing business as
PURE HEALTH TRANSITIONAL CARE AT TEXAS HEALTH PRESBYTERIAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 10, 2017
Last certification
Jun 13, 2024
Beds
49
Ownership / control type
Limited Liability Corporation
Multi-facility organization
MCOA
Organization structure
LLCProprietary
Incorporated
Jul 28, 2021 in DE
Enrollment address
8200 Walnut Hill LN
Main 5
Dallas, TX 75231-4402
Nursing home name
PURE HEALTH TRANSITIONAL CARE AT TEXAS HEALTH PRES
Affiliated entity
PUREHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pure Health Transitional Care at Texas Health PresCCN 676410 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 10, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4940.8 residents per day on average
Chain
Purehealth8 facilities in the chain

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
45D2111388Pure Health Transitional Care at8200 Walnut Hill Lane Main 5, Dallas, TX 75231Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

2000 Pga Blvd
Ste 3230
Palm Beach Gardens, FL 33408

8200 Walnut Hill Ln
#5
Dallas, TX 75231
Phone (210) 757-4987

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Eli Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Organization, Bernalillo, NM LLC Adp of the SNF Apr 14, 2025
Ryan H Heise Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Helene Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Organization, Palm Beach Gardens, FL LLC Adp of the SNF Apr 14, 2025
Siobaughn Fraser Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Talia Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Organization, Louisville, KY Medical provider/supplier Adp of the SNF May 7, 2025
Jorge Rojas Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Yaffa Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Kevin Bell Individual 5% Or Greater Indirect Ownership InterestCoo Jul 1, 2022 11%
Corporate OfficerCoo Jul 1, 2022 11%
Operational/Managerial Control Jul 1, 2022
Zipora Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Kccj1 Holdings LLC Organization, North Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 19, 2022 11%
TX Act Op Holdings LLC Organization, Palm Beach Gardens, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
PH Ops of Dallas LLC Organization, Dallas, TX Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Lbei Holdings LLC Organization, Palm Beach Gardens, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 50%
Atara Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Bgaf Holdings LLC Organization, Suffern, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 25, 2022 39%
Robert Campion Individual 5% Or Greater Indirect Ownership InterestCeo Jul 1, 2022 50%
Corporate OfficerCeo Jul 1, 2022 50%
Operational/Managerial Control Jul 1, 2022
Dwight Mortgage Trust LLC Organization, New York, NY LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2022
Ava Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Boruch Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Kristi Redding Individual Operational/Managerial Control Feb 26, 2024
Adp of the SNF Feb 26, 2024
Organization, Arlington, TX Non-profit Adp of the SNF Jun 11, 2001

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

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 2

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": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1790422822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 US HIGHWAY 1 STE 22",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084411",
            "telephone_number": "561-801-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN # 5",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314402",
            "telephone_number": "214-345-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH OPS OF DALLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "SIOBAUGHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "565-801-4235"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Transitional Care at Texas Health Presbyterian",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Health Transitional Care at Texas Health Presbyterian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.