NPIMap

Organization Active NPI

Sweeny Hospital District

Doing business as Village Creek Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Lumberton, TX
National Provider Identifier
1821055542
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
005291 Issued in TX
Legal business name
SWEENY HOSPITAL DISTRICT
Doing business as
Village Creek Rehabilitation and Nursing Center
Practice address
705 N Main St
Lumberton, TX 77657-7356
Phone
(409) 755-0100
Fax
(409) 755-4200
NPI assigned
Apr 27, 2006
Last updated
Feb 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Kelly Park
Title
Chief Executive Officer
Phone
(979) 548-1598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 005291 TX Primary

Addresses

Primary practice location

705 N Main St
Lumberton, TX 77657-7356

Mailing address

705 N Main St
Lumberton, TX 77657-7356
Phone (409) 755-0100

Other identifiers 1

IdentifierTypeStateIssuer
001013853MedicaidTX

Other names 1

  • Village Creek Rehabilitation and Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171025000830 TX Part A Provider - Skilled Nursing Facility 3173435260 Practice locations: Lumberton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821055542. Details of each certification follow.

Skilled nursing facility certification: CCN 675975

Legal name
SWEENY HOSPITAL DISTRICT
Doing business as
VILLAGE CREEK REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 3, 2003
Last certification
Jan 15, 2025
Beds
120
Ownership / control type
Hospital District
Multi-facility organization
Sweeny Hospital District
Organization structure
OtherNon-profit
Enrollment address
705 N Main St
Lumberton, TX 77657-7356
Nursing home name
VILLAGE CREEK REHABILITATION AND NURSING CENTER
Affiliated entity
NEXION HEALTH

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Village Creek Rehabilitation and Nursing CenterCCN 675975 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jul 3, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12075.5 residents per day on average
Chain
Nexion Health51 facilities in the chain
Penalties (3 years)
3Fines totaling $105,486

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
45D0878487Village Creek Rehabilitation & Nursing Center705 North Main, Lumberton, TX 77657Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Kelly R. Park Individual Corporate OfficerCeo Aug 1, 2019
Meera Riner Individual Operational/Managerial ControlCoo/Secretary Apr 1, 2017
Sweeny Hospital District Organization, Sweeny, TX Medical provider/supplier 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
John R Fallon Individual Operational/Managerial ControlAssistant Secretary Apr 1, 2017
John Oswald Individual Operational/Managerial ControlDirector Mar 22, 2022
Daniel Pierce Individual Operational/Managerial ControlCfo (Management Company) Mar 16, 2021 100%
Nexion Health at Lumberton, Inc. Organization, Sykesville, MD Corporation, Management services company, For-profit Operational/Managerial Control Apr 1, 2017 100%
Francis Kirley Individual Operational/Managerial ControlPresident & Ceo of MGMT Co Apr 1, 2017 100%
Brian Lee Individual Operational/Managerial ControlAssistant Secretary Apr 1, 2017

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 11

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

FacilityTypeRoleSince
Sweeny Community HospitalSweeny, TX, CCN 45Z311 Hospital Operational/Managerial Control Mar 29, 1965
Sweeny Community HospitalSweeny, TX, CCN 451311 Hospital Operational/Managerial Control (100%) Mar 29, 1968
Colonnades at Reflection BayPearland, TX, CCN 676207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Laurel CourtAlvin, TX, CCN 675495 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Columbus Oaks Healthcare CommunityColumbus, TX, CCN 675996 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Trustee of the SNF
Adp of the SNF		 May 1, 2021
May 1, 2021
May 25, 2025
The CrescentSugar Land, TX, CCN 676323 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
Solera at West HoustonHouston, TX, CCN 676310 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
The Broadmoor at Creekside ParkThe Woodlands, TX, CCN 676357 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
Ashford GardensHouston, TX, CCN 675423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
Fort Bend Healthcare CenterRosenberg, TX, CCN 675663 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
West Columbia Rural Health ClinicWest Columbia, TX, CCN 673461 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 9

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, 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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1821055542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577356",
            "telephone_number": "409-755-0100",
            "fax_number": "409-755-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577356",
            "telephone_number": "409-755-0100",
            "fax_number": "409-755-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEENY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "979-548-1598"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "005291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Creek Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Creek Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, TX

Sources for this page

Verify at the official NPI Registry.