NPIMap

Organization Active NPI

Childress County Hospital District

Doing business as Wellington Care Center

  • Skilled Nursing Facility
  • Wellington, TX
National Provider Identifier
1912769308
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
Wellington Care Center
Practice address
1506 Childress Street
Wellington, TX 79095-4108
Phone
(806) 447-2513
Fax
(682) 258-0799
NPI assigned
Jan 30, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Ms. Holly Holocomb
Title
Chief Executive Officer
Phone
(940) 937-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1506 Childress Street
Wellington, TX 79095-4108

Mailing address

4150 International Plaza
Suite 200
Fort Worth, TX 76109-4875
Phone (817) 348-8959

Other names 1

  • Wellington 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
O20240520001665 TX Part A Provider - Skilled Nursing Facility 5193634111 Practice locations: Wellington, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912769308. Details of each certification follow.

Skilled nursing facility certification: CCN 675945

Legal name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
WELLINGTON CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 13, 2003
Last certification
Oct 17, 2024
Beds
76
Ownership / control type
Hospital District
Multi-facility organization
Childress County Hospital District
Organization structure
OtherProprietary
Enrollment address
1506 Childress St
Wellington, TX 79095-4108
Nursing home name
WELLINGTON CARE CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wellington Care CenterCCN 675945 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 13, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7635.9 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
1Fines totaling $13,070

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Childress Regional Medi26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Malisa a Blake Individual Operational/Managerial Control Apr 1, 2024
James Driver Individual Managing Control - Governing BodyBoard Member Apr 1, 2024
Debra Favor Individual Managing Control - Governing BodySecretary Apr 1, 2024
Gary R Blake Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Linda F Huggins Individual Corporate DirectorVP of Accounts Receivable Apr 1, 2024
John Inman Individual Managing Control - Governing BodyBoard Member Apr 1, 2024
Brian Pierce Individual Managing Control - Governing BodyBoard Member Apr 1, 2024
Childress County Hospital District Organization, Childress, TX 5% Or Greater Direct Ownership Interest Apr 1, 2024 100%
Natasha Hathaway Individual Adp of the SNF Apr 14, 2025
Emilee Stratton Individual Corporate OfficerChief Financial Officer Jan 1, 2025
Managing Control - Governing BodyChief Financial Officer Jan 1, 2025
Howard Head Individual Managing Control - Governing BodyPresident Apr 1, 2024
Bethany L Pickard Individual Adp of the SNF Apr 14, 2025
Reagan Garrison Individual Managing Control - Governing BodyBoard Member Apr 1, 2024
Larry Johnson Individual Managing Control - Governing BodyVice President Apr 1, 2024
Wellington I Enterprises, LLC Organization, Fort Worth, TX LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2024 100%
Adp of the SNF Apr 14, 2025
Holly Holcomb Individual Corporate OfficerChief Executive Officer Apr 1, 2024 100%
Managing Control - Governing BodyChief Executive Officer Apr 1, 2024
Zachary Willig Individual Corporate DirectorLicensing Manager Jan 1, 2025

Owners & managing parties with NPI records 19

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

View all 19

All facility ownership & control disclosures 14

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

FacilityTypeRoleSince
Childress Regional Medical CenterChildress, TX, CCN 450369 Hospital Operational/Managerial Control Dec 29, 1986
Avir at ChildressChildress, TX, CCN 675055 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2014
Prairie House Living CenterPlainview, TX, CCN 675478 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ralls Nursing HomeRalls, TX, CCN 675407 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Apex Secure Care BrownfieldBrownfield, TX, CCN 675019 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Landmark of Amarillo Rehabilitation and Nursing CenterAmarillo, TX, CCN 455675 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Villa Haven Health and Rehabilitation CenterBreckenridge, TX, CCN 675279 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Crowell Nursing CenterCrowell, TX, CCN 675013 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Willowcreek Rehab and NursingAbilene, TX, CCN 675350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Matador Health and Rehabilitation CenterMatador, TX, CCN 676389 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Memphis Convalescent CenterMemphis, TX, CCN 675970 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Childress Regional Medical Center Home HealthChildress, TX, CCN 457489 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 31, 1983
Childress Regional Medical Center HospiceChildress, TX, CCN 451658 Hospice Operational/Managerial Control (100%) Nov 13, 1996
Fox Rural Health ClinicChildress, TX, CCN 453996 Rural health clinic Operational/Managerial Control Jun 25, 2008

Owned or controlled facilities with NPI records 16

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

View all 16

Facilities with the same owner 14

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

View all 14

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 1

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": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1912769308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLAZA",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094875",
            "telephone_number": "817-348-8959",
            "fax_number": "817-348-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CHILDRESS STREET",
            "city": "WELLINGTON",
            "state": "TX",
            "postal_code": "790954108",
            "telephone_number": "806-447-2513",
            "fax_number": "682-258-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "HOLOCOMB",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "940-937-6371",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellington Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, TX

Sources for this page

Verify at the official NPI Registry.