Organization Active NPI

SLP Diboll LLC

Doing business as Diboll Nursing and Rehab

  • Skilled Nursing Facility
  • Diboll, TX
National Provider Identifier
1942818489
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SLP DIBOLL LLC
Doing business as
Diboll Nursing and Rehab
Practice address
900 S Temple Dr
Diboll, TX 75941-2725
Phone
(936) 829-5501
Fax
(936) 829-5503
NPI assigned
Jul 21, 2020
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Richard Agnew
Title
Authorized Official
Phone
(512) 565-6159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

900 S Temple Dr
Diboll, TX 75941-2725

Mailing address

900 S Temple Dr
Diboll, TX 75941-2725
Phone (936) 829-5501

Other names 1

  • Diboll Nursing and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200903003616 TX Part A Provider - Skilled Nursing Facility 0840617858 Practice locations: Diboll, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942818489. Details of each certification follow.

Skilled nursing facility certification: CCN 675907

Legal name
SLP DIBOLL LLC
Doing business as
DIBOLL NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 12, 2002
Last certification
Jul 17, 2024
Beds
82
Ownership / control type
Corporation
Multi-facility organization
Senior Living Properties
Organization structure
LLCProprietary
Enrollment address
900 S Temple Dr
Diboll, TX 75941-2725
Nursing home name
DIBOLL NURSING AND REHAB
Affiliated entity
SLP OPERATIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diboll Nursing and RehabCCN 675907 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 12, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8225.6 residents per day on average
Chain
SLP Operations7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0993960SLP Diboll, LLC900 South Temple Dr, Diboll, TX 75941Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Gary Whitworth Individual 5% Or Greater Indirect Ownership InterestMember Jun 1, 2021 17.55%
SLP Omega Operations, LLC Organization, Bedford, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Darren Boswell Individual 5% Or Greater Indirect Ownership InterestMember Jun 1, 2021 33.77%
Organization, Hunt Valley, MD Corporation, Real estate investment trust (REIT) Adp of the SNF Sep 1, 2020
Senior Living Properties LLC Organization, Bedford, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
SLP Operations, LLC Organization, Bedford, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Joshua Leonard Individual Corporate OfficerInterim Ceo Oct 1, 2024
Operational/Managerial Control Oct 1, 2024
James E. Eden Individual 5% Or Greater Indirect Ownership InterestMember Jun 1, 2021 32.47%
Pablo E Splenser Individual Adp of the SNF Sep 1, 2020
James K Fairley Individual Adp of the SNF Jun 1, 2021
SLP Management Holdings, LLC Organization, Bedford, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 67.53%
Ohi Asset (TX) Diboll, LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Sep 1, 2020 100%
Adp of the SNF Sep 1, 2020
Organization, Hunt Valley, MD Real estate investment trust (REIT) Adp of the SNF Sep 1, 2020

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

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.

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1942818489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S TEMPLE DR",
            "city": "DIBOLL",
            "state": "TX",
            "postal_code": "759412725",
            "telephone_number": "936-829-5501",
            "fax_number": "936-829-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S TEMPLE DR",
            "city": "DIBOLL",
            "state": "TX",
            "postal_code": "759412725",
            "telephone_number": "936-829-5501",
            "fax_number": "936-829-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP DIBOLL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-565-6159"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diboll Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diboll, TX

Sources for this page

Verify at the official NPI Registry.