NPIMap

Organization Active NPI

South Limestone Hospital District

  • Skilled Nursing Facility
  • Waco, TX
National Provider Identifier
1871991802
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
140914 Issued in TX
Legal business name
SOUTH LIMESTONE HOSPITAL DISTRICT
Practice address
1010 Dallas St
Waco, TX 76704-1711
Phone
(254) 752-9774
Fax
(254) 213-7967
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Kendall A Broussard
Title
Manager
Phone
(337) 439-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 140914 TX Primary

Addresses

Primary practice location

1010 Dallas St
Waco, TX 76704-1711

Mailing address

1010 Dallas St
Waco, TX 76704-1711
Phone (254) 752-9774

Other names 1

  • WOODLAND SPRINGS 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
O20151009001869 TX Part A Provider - Skilled Nursing Facility 9032103700 Practice locations: Waco, TX

Skilled nursing facility certification: CCN 675360

Legal name
SOUTH LIMESTONE HOSPITAL DISTRICT
Doing business as
WOODLAND SPRINGS NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 27, 1994
Last certification
Aug 31, 2024
Beds
132
Ownership / control type
Corporation
Multi-facility organization
Charleston Waco Operations
Organization structure
GovernmentNon-profit
Enrollment address
1010 Dallas St
Waco, TX 76704-1711
Nursing home name
WOODLAND SPRINGS NURSING CENTER
Affiliated entity
CHARLESTON HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodland Springs Nursing CenterCCN 675360
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 27, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13288.2 residents per day on average
Chain
Charleston Healthcare Group4 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $92,215

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mark Spencer DO34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Individual Adp of the SNF Aug 5, 2025
Individual Adp of the SNF Aug 5, 2025
Larry N Price Individual Corporate DirectorCeo Jan 10, 2015 50%
Tyrell Hobbs Individual Corporate DirectorMember of the Board of Directors Oct 25, 2022
Individual Adp of the SNF Jan 23, 2015
Arnold Gray Individual Corporate DirectorMember of Board of Directors May 16, 2018
Kendall a Broussard Individual Corporate DirectorSNF Operations Director Jan 23, 2015 50%
Operational/Managerial ControlManagement Company Managing Memb Jan 23, 2015 100%
Adp of the SNF Nov 15, 2013
Herbert D Hewitt Individual Corporate DirectorPresident of Board of Directors Jan 10, 2015
Individual Adp of the SNF Nov 15, 2013
Kent Wilson Individual Corporate DirectorMember of Board of Directors Jan 25, 2022
Organization, Lake Charles, LA LLC Adp of the SNF Aug 5, 2025
Individual Adp of the SNF Nov 15, 2013
Organization, Lake Charles, LA LLC Adp of the SNF Aug 5, 2025
Individual Adp of the SNF Nov 15, 2013
Organization, Lake Charles, LA LLC Adp of the SNF Nov 15, 2013
Christina Lockhart Individual Corporate DirectorMember of the Board of Directors Feb 27, 2024
Organization, Maurepas, LA LLC Adp of the SNF Nov 15, 2013
Charleston Waco Operations, LLC Organization, Lake Charles, LA LLC, Management services company Operational/Managerial Control Jan 23, 2015 100%
Adp of the SNF Aug 5, 2025
South Limestone Hospital District Organization, Groesbeck, TX Operational/Managerial Control Jan 23, 2015 50%
Glenda R O'Neal Individual Corporate DirectorMember of Board of Directors Jul 24, 2012

All facility ownership & control disclosures 30

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

FacilityTypeRoleSince
Limestone Medical CenterGroesbeck, TX, CCN 451303 Hospital Operational/Managerial Control (14%) Aug 5, 1996
Limestone Medical CenterGroesbeck, TX, CCN 45Z303 Hospital Operational/Managerial Control Aug 5, 1996
Accel at Willow BendPlano, TX, CCN 676349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Garnet Hill Rehabilitation and Skilled CareWylie, TX, CCN 676192 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Settlers Ridge Care CenterCelina, TX, CCN 675969 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
The Villages on MacarthurIrving, TX, CCN 676358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Baybrooke Village Care and Rehab CenterMcKinney, TX, CCN 676096 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Georgetown Nursing and Transitional CareGeorgetown, TX, CCN 676280 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2017
Sep 30, 2025
Creekside Terrace RehabilitationBelton, TX, CCN 455497 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
San Gabriel Rehabilitation and Care CenterRound Rock, TX, CCN 676308 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Groesbeck LTC Nursing and RehabilitationGroesbeck, TX, CCN 676071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Teague Nursing and RehabilitationTeague, TX, CCN 675884 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Mexia LTC Nursing and RehabilitationMexia, TX, CCN 675903 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2018
Apr 23, 2025
Falcon Ridge RehabilitationHutto, TX, CCN 676382 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Briarcliff Health CenterTyler, TX, CCN 675142 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Chandler Health CareChandler, TX, CCN 455910 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Providence Park Rehabilitation and Skilled NursingTyler, TX, CCN 676184 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2020
Avir at BeltonBelton, TX, CCN 675948 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Van HealthcareVan, TX, CCN 455856 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Panola County Nursing & RehabilitationCarthage, TX, CCN 675387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2024
Crimson Heights Health & WellnessHumble, TX, CCN 676463 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Terra Bella Health and Wellness SuitesHouston, TX, CCN 676450 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
St. Joseph'S Care CenterMcGregor, TX, CCN 745059 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
The Chateau WacoWaco, TX, CCN 676409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
Avir at CorsicanaCorsicana, TX, CCN 676295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
St. Anthony'S Care CenterWaco, TX, CCN 676462 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
West Rest HavenWest, TX, CCN 676386 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Rettig Family Health Care a Limestone Medical Center ClinicGroesbeck, TX, CCN 673480 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Kosse Community Health Clinic a Limestone Medical Center ClinicKosse, TX, CCN 673482 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Family Medicine CenterGroesbeck, TX, CCN 453984 Rural health clinic Operational/Managerial Control Mar 28, 2022

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1871991802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DALLAS ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767041711",
            "telephone_number": "254-752-9774",
            "fax_number": "254-213-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DALLAS ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767041711",
            "telephone_number": "254-752-9774",
            "fax_number": "254-213-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LIMESTONE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-439-6600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "140914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODLAND SPRINGS NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.