NPIMap

Organization Active NPI

McCulloch County Hospital District

Doing business as San Antonio Residence and Rehabilitation Center

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1841822046
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
San Antonio Residence and Rehabilitation Center
Practice address
7703 Briaridge Dr
San Antonio, TX 78230-4803
Phone
(210) 341-6121
Fax
(210) 341-2298
NPI assigned
Feb 6, 2020
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Mr. Timothy S Jones
Title
Ceo
Phone
(325) 597-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7703 Briaridge Dr
San Antonio, TX 78230-4803

Mailing address

7703 Briaridge Dr
San Antonio, TX 78230-4803
Phone (210) 341-6121

Other identifiers 1

IdentifierTypeStateIssuer
001027420MedicaidTX

Other names 1

  • SAN ANTONIO RESIDENCE AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603000362 TX Part A Provider - Skilled Nursing Facility 6305755901 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841822046. Details of each certification follow.

Skilled nursing facility certification: CCN 455742

Legal name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
THE LEV AT SAN ANTONIO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 1, 1988
Last certification
Aug 30, 2024
Beds
106
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Solutions Healthcare
Organization structure
OtherNon-profit
Enrollment address
7703 Briaridge Dr
San Antonio, TX 78230-4803
Nursing home name
THE LEV AT SAN ANTONIO

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
The Lev at San AntonioCCN 455742 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10677.5 residents per day on average
Penalties (3 years)
2Fines totaling $174,496

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
45D0681242McCulloch County Hospital District7703 Briaridge Drive, San Antonio, TX 78230Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Heart of Texas Memorial9 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 10

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

NameRoleSinceShare
Rod Young Individual Corporate DirectorBoard Member Apr 1, 2020
Susan Jolliff Individual Corporate DirectorBoard Member Apr 1, 2020
Arthur Moseley Individual Corporate DirectorBoard Member Apr 1, 2020
Aharon Shkop Individual Contracted Managing EmployeeManager Sep 1, 2020 100%
Michele Derrick Individual Corporate DirectorBoard Member Apr 1, 2020
The Lev at San Antonio, LLC Organization, San Antonio, TX LLC, For-profit Operational/Managerial Control Sep 1, 2020 100%
McCulloch County Hospital District Organization, Brady, TX Operational/Managerial Control Apr 1, 2020
Terry Keltz Individual Corporate DirectorBoard Member Apr 1, 2020
Curtis Owens Individual Corporate DirectorBoard Member Apr 1, 2020
Timothy S Jones Individual Corporate DirectorCeo Apr 1, 2020
W-2 Managing EmployeeCeo Apr 1, 2020

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 6

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

FacilityTypeRoleSince
Focused Care at CraneCrane, TX, CCN 675927 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)		 Jun 1, 2014
Jun 1, 2014
Jun 1, 2014
Avir at ConverseConverse, TX, CCN 675452 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Avir at BurnetBurnet, TX, CCN 675619 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control
Adp of the SNF
Indirect Ownership Interest		 Mar 1, 2015
Jan 17, 2025
Jan 17, 2025
Sep 1, 2017
Rising Star Nursing CenterRising Star, TX, CCN 675832 Skilled nursing facility Adp of the SNF Apr 14, 2025
Avir at WacoWaco, TX, CCN 676343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Sagecrest Alzheimers Care CenterSan Angelo, TX, CCN 676091 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
May 5, 2025

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1841822046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 BRIARIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304803",
            "telephone_number": "210-341-6121",
            "fax_number": "210-341-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 BRIARIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304803",
            "telephone_number": "210-341-6121",
            "fax_number": "210-341-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-597-2901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN ANTONIO RESIDENCE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.