NPIMap

Organization Active NPI

Parker County Hospital District

Doing business as Springtown Park Rehabilitation and Care Center

  • Skilled Nursing Facility
  • Springtown, TX
National Provider Identifier
1881463156
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKER COUNTY HOSPITAL DISTRICT
Doing business as
Springtown Park Rehabilitation and Care Center
Practice address
201 Williams Ward Rd
Springtown, TX 76082-6028
Phone
(817) 755-5116
NPI assigned
Dec 27, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Randy Bacus
Title
Ceo
Phone
(817) 341-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

201 Williams Ward Rd
Springtown, TX 76082-6028

Mailing address

201 Williams Ward Rd
Springtown, TX 76082-6028
Phone (817) 755-5116

Other names 1

  • Springtown Park Rehabilitation and Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229002638 TX Part A Provider - Skilled Nursing Facility 0840269163 Practice locations: Springtown, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881463156. Details of each certification follow.

Skilled nursing facility certification: CCN 676499

Legal name
PARKER COUNTY HOSPITAL DISTRICT
Doing business as
SPRINGTOWN PARK REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2021
Last certification
Sep 26, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Priority Management
Organization structure
GovernmentNon-profit
Enrollment address
201 Williams Ward Rd
Springtown, TX 76082-6028
Nursing home name
SPRINGTOWN PARK REHABILITATION AND CARE CENTER
Affiliated entity
PRIORITY MANAGEMENT

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Springtown Park Rehabilitation and Care CenterCCN 676499 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12097.6 residents per day on average
Chain
Priority Management38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Parker Cnty Hosp District9 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.

Locations

713 E Anderson St
#103
Weatherford, TX 76086

750 E Anderson St
Ste B
Weatherford, TX 76086
Phone (817) 341-7400

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Douglas B Boulware Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
Katie B Walker Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
Parker County Hospital District Organization, Weatherford, TX 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Thomas C Boulware Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
James McDonald Individual Adp of the SNF Dec 31, 2024
Randy B Bacus Individual Corporate OfficerCeo Feb 1, 2024
Steven Boulware Family Investments LLC Organization, Dallas, TX LLC 5% Or Greater Mortgage Interest Dec 31, 2024 33.33%
PMG Realco - Springtown LLC Organization, Springtown, TX LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Feb 28, 2025 100%
Adp of the SNF Feb 28, 2025
Bridgepointe Finanical Services, LLC Organization, Dallas, TX LLC Adp of the SNF Dec 31, 2024
Johnita L Darton Individual Adp of the SNF Dec 31, 2024
Priority Management Group, LLC Organization, Dallas, TX LLC Adp of the SNF Dec 31, 2024
Sandra Boulware Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
PMG Opco - Springtown LLC Organization, Dallas, TX LLC Operational/Managerial Control Dec 31, 2024 100%
Adp of the SNF Feb 22, 2025
Steven D Boulware Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Parker C Bauder Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
Boulware St James LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 31, 2024 33.34%
Adp of the SNF Dec 31, 2024
Innovative Nurse Consulting, LLC Organization, Dallas, TX LLC Adp of the SNF Dec 31, 2024
Kelly P Bauder Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
Progressive Rehab Solutions, LLC Organization, Dallas, TX LLC Adp of the SNF Dec 31, 2024
Madison R Bauder Individual 5% Or Greater Mortgage Interest Dec 31, 2024 8.34%
Adp of the SNF Dec 31, 2024
William M Bauder Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Bauder Family Investments, LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 31, 2024 33.33%
Adp of the SNF Dec 31, 2024

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 5

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

FacilityTypeRoleSince
Hilltop Park Rehabilitation and Healthcare CenterWeatherford, TX, CCN 675988 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2015
Willow Park Rehabilitation and Healthcare CenterWillow Park, TX, CCN 676365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
College Park Rehabilitation and Care CenterWeatherford, TX, CCN 676212 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2025
Matlock Place Health & Rehabilitation CenterArlington, TX, CCN 676141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2014
Campbell ClinicWeatherford, TX, CCN 673902 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 4, 1994

Owned or controlled facilities with NPI records 5

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 17

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.

View all 17

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1881463156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILLIAMS WARD RD",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760826028",
            "telephone_number": "817-755-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WILLIAMS WARD RD",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760826028",
            "telephone_number": "817-755-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BACUS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-341-2520"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springtown Park Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springtown, TX

Sources for this page

Verify at the official NPI Registry.