NPIMap

Organization Active NPI

Guadalupe County Hospital Board

Doing business as Legend Oaks Healthcare and Rehabilitation - West San Antonio

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1811357155
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
Legend Oaks Healthcare and Rehabilitation - West San Antonio
Practice address
222 Bertetti Dr
San Antonio, TX 78227-3950
Phone
(210) 673-1700
Fax
(210) 673-1702
NPI assigned
Feb 29, 2016
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Soon Burnam
Title
Secretary of Management Company
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

222 Bertetti Dr
San Antonio, TX 78227-3950

Mailing address

222 Bertetti Dr
San Antonio, TX 78227-3950
Phone (210) 673-1700

Other names 1

  • Legend Oaks Healthcare and Rehabilitation - West San Antonio Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601001745 TX Part A Provider - Skilled Nursing Facility 3072421395 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811357155. Details of each certification follow.

Skilled nursing facility certification: CCN 676312

Legal name
DEWITT MEDICAL DISTRICT
Doing business as
LEGEND OAKS HEALTHCARE AND REHABILITATION-WEST SAN ANTONIO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 31, 2012
Last certification
Oct 31, 2024
Beds
124
Ownership / control type
Corporation
Multi-facility organization
Keystone Care LLC
Most recent change of ownership
Apr 1, 2026
Organization structure
OtherProprietary
Enrollment address
222 Bertetti Dr
San Antonio, TX 78227-3950
Nursing home name
LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST SAN ANTONIO
Affiliated entity
THE ENSIGN GROUP

Other NPIs with the same Medicare PAC ID 20

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

View all 20

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legend Oaks Healthcare and Rehabilitation - West SCCN 676312 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 31, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124108.8 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $8,632

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Guadalupe Valley Hospit41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
National Health Investors, Inc. Organization, Murfreesboro, TN Corporation Adp of the SNF Apr 1, 2017
Bertetti Healthcare, Inc. Organization, San Antonio, TX Corporation Operational/Managerial Control Apr 1, 2017 100%
Adp of the SNF Oct 24, 2025
Texas Nhi Investors, LLC Organization, Murfreesboro, TN LLC Adp of the SNF Apr 1, 2017
Dewitt Medical District Organization, Cuero, TX 5% Or Greater Indirect Ownership Interest Apr 1, 2017 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 1, 2016
Alma Alexander Individual Corporate OfficerCfo Dewitt Medical District May 27, 2020
Saad MD Mansoor Individual Operational/Managerial Control Sep 12, 2023
Managing Control - Governing BodyMedical Director Sep 12, 2023
Adp of the SNF Sep 12, 2023
Robert Gray Individual Operational/Managerial ControlAdministrator Dec 15, 2017
Managing Control - Governing BodyAdministrator Dec 15, 2017
Adp of the SNF Dec 15, 2017
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate Officer Apr 1, 2017

Owners & managing parties with NPI records 21

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

View all 21

All facility ownership & control disclosures 13

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

FacilityTypeRoleSince
Dewitt Medical DistrictCuero, TX, CCN 450597 Hospital Operational/Managerial Control Feb 1, 2001
Kingsville Nursing and Rehabilitation CenterKingsville, TX, CCN 675815 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Apr 2, 2025
Windsor Nursing and Rehabilitation Center of Corpus ChristiCorpus Christi, TX, CCN 676321 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Apr 3, 2025
Corpus Christi Nursing and Rehabilitation CenterCorpus Christi, TX, CCN 676107 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jan 1, 2015
Jan 1, 2015
May 20, 2025
Jan 1, 2015
Pflugerville Nursing and Rehabilitation CenterPflugerville, TX, CCN 676245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Feb 18, 2015
Feb 28, 2015
Apr 3, 2025
Windsor CalallenCorpus Christi, TX, CCN 676391 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Feb 1, 2016
Feb 1, 2016
Apr 3, 2025
Legend Oaks Healthcare and Rehabilitation-San AntonioSan Antonio, TX, CCN 676113 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Sonterra Health CenterSan Antonio, TX, CCN 676158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Parklane West Healthcare CenterSan Antonio, TX, CCN 675509 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Yorktown Nursing and Rehabilitation CenterYorktown, TX, CCN 675071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Lampassas Nursing and Rehabilitation CenterLampasas, TX, CCN 455513 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Diversicare of LulingLuling, TX, CCN 675075 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Yorktown Medical ClinicYorktown, TX, CCN 673451 Rural health clinic Operational/Managerial Control Jul 22, 2013

Owned or controlled facilities with NPI records 13

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

  • Dewitt Medical District

    dba Yorktown Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Yorktown, TX
    • NPI 1255372488

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Dewitt Medical District

    dba Lampasas Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Lampasas, TX
    • NPI 1346281573

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Dewitt Medical District

    dba Diversicare of Luling

    • Skilled Nursing Facility
    • Luling, TX
    • NPI 1396789491

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Dewitt Medical District

    dba Windsor Nursing and Rehabilitation Center of Corpus Christi

    • Skilled Nursing Facility
    • Corpus Christi, TX
    • NPI 1407127384

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Cuero Regional Hospital

    • Rural Acute Care Hospital
    • Cuero, TX
    • NPI 1437148020

    Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Yorktown Medical Clinic

    • Rural Health Clinic/Center
    • Yorktown, TX
    • NPI 1821422551

    Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Kingsville Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Kingsville, TX
    • NPI 1841254174

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Corpus Christi Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Corpus Christi, TX
    • NPI 1861442469

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Windsor Calallen

    • Skilled Nursing Facility
    • Corpus Christi, TX
    • NPI 1932596343

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Dewitt Medical District

    dba Pflugerville Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Pflugerville, TX
    • NPI 1962735175

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Guadalupe County Hospital Board

    dba Parklane West Healthcare Center

    • Skilled Nursing Facility
    • San Antonio, TX
    • NPI 1235671629

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Guadalupe County Hospital Board

    dba Legend Oaks Healthcare and Rehabilitation Center - San Antonio

    • Skilled Nursing Facility
    • San Antonio, TX
    • NPI 1710348685

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 13

Facilities with the same owner 13

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

View all 13

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1811357155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BERTETTI DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782273950",
            "telephone_number": "210-673-1700",
            "fax_number": "210-673-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BERTETTI DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782273950",
            "telephone_number": "210-673-1700",
            "fax_number": "210-673-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legend Oaks Healthcare and Rehabilitation - West San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legend Oaks Healthcare and Rehabilitation - West San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.