Anson Hospital District
Organization Active NPI Skilled Nursing Facility · Bryan, TX
NPI 1932083235 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1932083235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ANSON HOSPITAL DISTRICT
- Practice address
- 2817 Kent St
Bryan, TX 77802-5214 - Phone
- (979) 776-7521
- NPI assigned
- Aug 1, 2025
- Organization subpart
- No
Authorized official
- Name
- Ted Mathews
- Title
- Ceo
- Phone
- (325) 823-1152
Owners & managing parties with NPI records 6
-
Diana L Stone, D.O.
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Member of 1
Facilities with the same owner 3
Affiliated clinicians 1
-
Diana L Stone, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Legacy Nursing and Rehabilitation
- 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
- Feb 7, 1969
- Medicare certification status
- Active
- Certified beds
- 117 · 100.2 residents per day on average
- Chain
- Legacy Nursing & Rehabilitation
- Penalties (3 years)
- 1 · fines totaling $12,375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 455351
- Legal name
- ANSON HOSPITAL DISTRICT
- Doing business as
- LEGACY NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 7, 1969
- Last certification
- May 8, 2025
- Beds
- 124 (117 certified)
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Bryan OPCO, LLC
- Most recent change of ownership
- Sep 1, 2025
- Organization structure
- Government · Non-profit
- Enrollment address
- 2817 Kent St
Bryan, TX 77802-5214 - Nursing home name
- LEGACY NURSING AND REHABILITATION
- Affiliated entity
- LEGACY NURSING & REHABILITATION
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Sep 1, 2025 | |
| Indirect Ownership Interest | Sep 1, 2025 | ||
| |
Adp of the SNF | Sep 1, 2025 | |
| |
Adp of the SNF | Sep 1, 2025 | |
| Indirect Ownership Interest | Sep 1, 2025 | ||
| Bryan Opco LLC |
Operational/Managerial Control | Sep 1, 2025 | |
| Adp of the SNF | Sep 1, 2025 | ||
| Victor D Gum |
Operational/Managerial Control | Sep 1, 2025 | |
| Adp of the SNF | Sep 1, 2025 | ||
| LP Holdings, LLC |
Adp of the SNF | Sep 1, 2025 | |
| David T Spraberry |
Corporate Officer |
Sep 1, 2025 | |
| Managing Control - Governing Body |
Jan 1, 2016 | ||
| Pete Klein |
Corporate Director |
Sep 1, 2025 | |
| Mathew Dymock |
Operational/Managerial Control | Dec 3, 2025 | |
| Adp of the SNF | Sep 1, 2025 | ||
| Barbara Vest |
Corporate Officer |
Sep 1, 2025 | |
| Anson Hospital District |
5% Or Greater Direct Ownership Interest | Sep 1, 2025 | |
| Operational/Managerial Control | Sep 1, 2025 | ||
| Mylesh, LLC |
Adp of the SNF | Sep 1, 2025 | |
| Max Shaw |
Corporate Director |
Sep 1, 2025 | |
| Myles Holyfield |
Adp of the SNF | Sep 1, 2025 | |
| Justa Clark |
Corporate Officer |
Sep 1, 2025 | 100% |
| Managing Control - Governing Body |
Sep 1, 2025 | ||
| Jdgum, LLC |
Adp of the SNF | Sep 1, 2025 | |
| Larry Lytle |
Corporate Director |
Sep 1, 2025 | |
| VDG LLC |
Indirect Ownership Interest | Sep 1, 2025 | |
| Dgprejean, LLC |
Adp of the SNF | Sep 1, 2025 | |
| Bryan Propco, L.L.C. |
Adp of the SNF | Sep 24, 2025 | |
| Indirect Ownership Interest | Sep 1, 2025 | ||
| Teri Wilson |
Corporate Director |
Sep 1, 2025 | |
| Billie K Haynes |
Corporate Officer |
Sep 1, 2025 | |
| Managing Control - Governing Body |
Jan 1, 2016 | ||
| Diana L Stone |
Operational/Managerial Control | Sep 1, 2025 | |
| Adp of the SNF | Sep 1, 2025 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Anson General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2016 |
| Los Arcos del Norte Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Anson Family Wellness Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260309001660 | TX | Part a Provider - Skilled Nursing Facility | 4880983428 |
National Provider Directory
- Tax ID family
- Anson Hospital District
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2817 Kent St
Bryan, TX 77802-5214
Mailing address
101 Avenue J
Anson, TX 79501-2113
Other names
- Legacy Nursing and Rehabilitation
Other providers in Bryan, TX
- April Lauren Anderson
- Julia Lynn Anderson
- Krista Nicole Anderson
- Anesthesia Associates of Bryan LLC
- Anointed Personal Home Care Servs
- Michael Anthony
- Eric Alan Appelt
- Jennifer Applewhite
- Samantha-Valencia Arabome
- Brittainy Nicole Aregood
All providers in Bryan, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.