Active NPI
Winnie-Stowell Hospital District
Doing business as Willowbrook Nursing Center
- Skilled Nursing Facility
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WINNIE-STOWELL HOSPITAL DISTRICT
- Doing business as
- Willowbrook Nursing Center
- Practice address
- 227 Russell Blvd
Nacogdoches, TX 75965-1238 - Phone
- (936) 564-4596
- Fax
- (936) 715-0376
- NPI assigned
- Dec 5, 2019
- Last updated
- Jun 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Murrell
- Title
- Board President
- Phone
- (409) 296-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
227 Russell Blvd
Nacogdoches, TX 75965-1238
Mailing address
1780 Hughes Landing Blvd Ste 500
The Woodlands, TX 77380-4009
Phone (281) 419-5520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5225 | Medicaid | TX | |
| 001030890 | Medicaid | TX |
Other names 1
- Willowbrook Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200204000333 | TX | Part A Provider - Skilled Nursing Facility | 3870712482 | Practice locations: Nacogdoches, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1851938112. Details of each certification follow.
Skilled nursing facility certification: CCN 455700
- Legal name
- WINNIE-STOWELL HOSPITAL DISTRICT
- Doing business as
- WILLOWBROOK NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 28, 1987
- Last certification
- Jun 19, 2024
- Beds
- 166
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- HMS Healthcare LLC
- Organization structure
- LLC
- Enrollment address
- 227 Russell Blvd
Nacogdoches, TX 75965-1238 - Nursing home name
- WILLOWBROOK NURSING CENTER
- Affiliated entity
- HMG HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willowbrook Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 28, 1987
- Medicare certification status
- Active
- Certified beds
- 166
- Chain
- HMG Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Winnie-Stowell Hospital District
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Garrison Nursing Home & Rehabilitation Center
- Skilled Nursing Facility
- Garrison, TX
- NPI 1861694473
-
dba Huntsville Health Care Center
- Skilled Nursing Facility
- Huntsville, TX
- NPI 1992807747
-
dba Sugar Land Health Care Center
- Skilled Nursing Facility
- Sugar Land, TX
- NPI 1730281585
-
dba Seven Acres Jewish Senior Care Services
- Skilled Nursing Facility
- Houston, TX
- NPI 1710844279
-
dba Copperas Cove Nursing & Rehabilitation
- Skilled Nursing Facility
- Copperas Cove, TX
- NPI 1720490311
-
dba Oak Village Healthcare
- Skilled Nursing Facility
- Lake Jackson, TX
- NPI 1720505712
-
dba Sugar Land Health Care Center
- Skilled Nursing Facility
- Sugar Land, TX
- NPI 1730940719
-
dba Park Manor of Tomball
- Skilled Nursing Facility
- Tomball, TX
- NPI 1750587770
-
dba Avir at Garland
- Skilled Nursing Facility
- Garland, TX
- NPI 1790674380
-
dba Park Manor of Cypress Station
- Skilled Nursing Facility
- Houston, TX
- NPI 1790767002
-
dba Arbrook Plaza
- Skilled Nursing Facility
- Arlington, TX
- NPI 1801573654
-
dba Park Manor of Quail Valley
- Skilled Nursing Facility
- Missouri City, TX
- NPI 1801878319
Locations
227 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 564-4596
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Andrea Casper | Operational/Managerial Control | Aug 30, 2022 | |
| Adp of the SNF | Aug 30, 2022 | ||
| Ana I Pico | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 33% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| HMG Park Manor of Willowbrook LLC | Operational/Managerial Control | Jan 1, 2020 | 100% |
| Rhonda Benavides | Operational/Managerial Control | Aug 20, 2001 | |
| Adp of the SNF | Aug 20, 2001 | ||
| Roland Wayne Culp | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 33% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Edward R Murrell | Corporate Officer | Nov 1, 2012 | 100% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Krystal Balsamo | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 1, 2018 | ||
| Winnie-Stowell Hospital District | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 | |
| Norma Stanbridge | Adp of the SNF | Apr 1, 2018 | |
| Anthony Stramecki | Corporate Officer | Nov 1, 2016 | 100% |
| Corporate Director | Nov 1, 2016 | 100% | |
| Operational/Managerial Control | Apr 1, 2018 | ||
| George Way | Corporate Director | Jun 27, 2005 | 100% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Laurence C Daspit | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 33% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| William W Dohn | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 1, 2018 | ||
| James L Sanders | Operational/Managerial Control | Apr 3, 2023 | |
| Adp of the SNF | Apr 3, 2023 | ||
| Forvis Mazars LLP | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 | 100% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Jeffery Rollo | Corporate Officer | Nov 1, 2012 | 100% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| HMG Partners II LLC | Operational/Managerial Control | Jan 1, 2020 | |
| Kacey Vratis | Operational/Managerial Control | Apr 1, 2018 | |
| Christian Reinarz | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 1, 2018 | ||
| Cibc Bank USA | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 | 100% |
| Operational/Managerial Control | Apr 1, 2021 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Zions Bancorporation | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 | 100% |
| Operational/Managerial Control | Apr 1, 2021 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Derek L Prince | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 33% |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Carey Jynette Lindemann | Adp of the SNF | Apr 1, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Nacogdoches, TX
- NPI 1851543888
Adp of the SNF
All facility ownership & control disclosures 76
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Flatonia Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 31, 2014 |
| The Woodlands Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 22, 2014 Mar 4, 2026 |
| Spindletop Hill Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 22, 2014 |
| Hallettsville Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Aug 31, 2014 Oct 1, 2018 Apr 19, 2025 |
| Monument Hill Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Aug 31, 2014 Oct 1, 2018 May 13, 2025 |
| Marshall Manor West | Skilled nursing facility | Operational/Managerial Control (100%) | Jul 22, 2014 |
| Avir at Giddings | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2021 |
| Rose Haven Retreat | Skilled nursing facility | Operational/Managerial Control (100%) | Jul 22, 2014 |
| Highland Park Rehabilitation & Nursing Center | Skilled nursing facility | Operational/Managerial Control (100%) | May 1, 2004 |
| Marshall Manor Nursing & Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control (100%) | May 1, 2004 |
| Garrison Nursing Home & Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control (100%) | May 1, 2004 |
| Golden Villa | Skilled nursing facility | Operational/Managerial Control (100%) | May 1, 2004 |
| Park Manor of Humble | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 |
| Park Manor of Westchase | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 |
| Park Manor of Cypress Station | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 |
| Park Manor of Cyfair | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 |
| Park Manor of Quail Valley | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 |
| Deerbrook Skilled Nursing and Rehab Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Aug 1, 2024 |
| Friendship Haven Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Park Manor of the Woodlands | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 |
| Park Manor of Tomball | Skilled nursing facility | Direct Ownership Interest | Apr 1, 2018 |
| Park Manor of South Belt | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2018 |
| Cimarron Place Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Silver Spring | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Accel at College Station | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 |
| Red Oak Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Green Oaks Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Stallings Court Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2021 Oct 1, 2021 |
| Hewitt Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2021 Oct 1, 2021 |
| Holland Lake Rehabilitation and Wellness Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2021 Oct 1, 2021 |
| Pecan Bayou Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2021 Oct 1, 2021 |
| Stonegate Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Harbor Lakes Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Crowley Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Mission Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2021 Oct 1, 2021 |
| Lone Star Rehabilitation & Wellness Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| The Villa at Texarkana | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Corrigan LTC Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Parkview Manor Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Copperas Cove Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Winnie L Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Oak Village Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Hemphill Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Treviso Transitional Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Arbrook Plaza | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2023 |
| Gulf Pointe Plaza | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2023 |
| Forum Parkway Health & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2023 |
| Gracy Woods Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Avir at Overton | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Avir at Paris | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Seabreeze Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Avir at Town Creek | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Conroe Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Wells LTC Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2024 |
| Sugar Land Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Richmond Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Avir at Coronado | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Huntsville Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Woodlake Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2024 |
| Creekside Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2024 |
| Woodland Park Nursing & Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2024 |
| Oak Brook Health Care Center | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2024 |
| Mont Belvieu Rehabilitation & Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2024 |
| Beaumont Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Lawrence Street Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Cleveland Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| West Janisch Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Liberty Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Bayou Pines Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2024 |
| Afton Oaks Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2024 Sep 1, 2024 |
| Galveston Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2024 |
| Oak Grove Nursing Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 30, 2024 Dec 10, 2024 |
| Magnolia Place Health Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2025 |
| Sabine Heights Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2025 |
| Sterling Oaks Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2025 |
| Garland Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2025 |
Facilities with the same owner 219
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Desoto, TX
- NPI 1043878069
Cibc Bank USA, Forvis Mazars LLP, Zions Bancorporation
-
dba Magnolia Place Health Care
- Skilled Nursing Facility
- Liberty, TX
- NPI 1033114319
Winnie-Stowell Hospital District
-
dba Hallettsville Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Hallettsville, TX
- NPI 1033167408
Winnie-Stowell Hospital District
-
dba Stonegate Nursing and Rehabilitation
- Skilled Nursing Facility
- Fort Worth, TX
- NPI 1033784798
Winnie-Stowell Hospital District
-
dba Holland Lake Rehabilitation and Wellness Center
- Skilled Nursing Facility
- Weatherford, TX
- NPI 1053986612
Winnie-Stowell Hospital District
-
dba The Woodlands Nursing and Rehabilitation Center
- Skilled Nursing Facility
- The Woodlands, TX
- NPI 1073536041
Winnie-Stowell Hospital District
-
dba Cimarron Place Health & Rehabilitation
- Skilled Nursing Facility
- Corpus Christi, TX
- NPI 1073587812
Cibc Bank USA, Winnie-Stowell Hospital District
-
dba Rose Haven Retreat
- Skilled Nursing Facility
- Atlanta, TX
- NPI 1073927018
Winnie-Stowell Hospital District
-
dba Creekside Village
- Skilled Nursing Facility
- Richwood, TX
- NPI 1093232084
Winnie-Stowell Hospital District
-
dba West Janisch Health Care Center
- Skilled Nursing Facility
- Houston, TX
- NPI 1114029949
Winnie-Stowell Hospital District
-
dba Spindletop Hill Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Beaumont, TX
- NPI 1134101553
Winnie-Stowell Hospital District
-
dba Lone Star Rehabilitation & Wellness Center
- Skilled Nursing Facility
- Stephenville, TX
- NPI 1134794795
Cibc Bank USA, Winnie-Stowell Hospital District
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.
-
- Family Medicine Physician
- Nacogdoches, TX
- NPI 1851543888
-
- Internal Medicine Physician
- Nacogdoches, TX
- NPI 1346246964
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": "1575504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623628800000",
"number": "1851938112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 HUGHES LANDING BLVD STE 500",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773804009",
"telephone_number": "281-419-5520",
"fax_number": "281-419-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 RUSSELL BLVD",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651238",
"telephone_number": "936-564-4596",
"fax_number": "936-715-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINNIE-STOWELL HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-05",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A",
"authorized_official_last_name": "MURRELL",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "409-296-1003"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5225",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001030890",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Willowbrook Nursing Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Willowbrook Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nacogdoches, TX
- Cheryl Busbice Wilson, L.C.S.W.
- Jerry Clyde Wilson, M.S., L.P.C.
- Joni M Wilson
- Melanie Lynn Wilson, RN, CNM
- Winnie-Stowell Hospital District (Stallings Court Nursing and Rehabilitation)
- Reyna Nicole Witherspoon, LCSW
- Gregory Paul Wittpenn, M.D.
- Woden Isd
- Janae Kimberly Wojasinski, LPC
- Wallace D Womack, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.