Active NPI
Fannin County Hospital Authority
- Skilled Nursing Facility
- Lubbock, TX
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Member of1
- Facilities with the same owner55
- Affiliated clinicians5
- Care Compare: Nursing home
- Medicare participation
- Skilled nursing facility certification: CCN 676318
- All disclosed owners & managing parties10
- All facility ownership & control disclosures55
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in Lubbock, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Practice address
- 507 Martin Luther King Blvd
Lubbock, TX 79403-5213 - Phone
- (806) 744-1113
- Fax
- (806) 744-1060
- NPI assigned
- Jul 29, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Clark Sanderson
- Title
- Board President
- Phone
- (817) 372-7224
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1033972427
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Levelland, TX
- NPI 1063533511
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Weatherford, TX
- NPI 1073634366
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Paris, TX
- NPI 1093176968
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Harlingen, TX
- NPI 1104470293
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Greenville, TX
- NPI 1114388089
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Jefferson, TX
- NPI 1124495486
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Terrell, TX
- NPI 1124851456
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1134113947
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Gladewater, TX
- NPI 1144680471
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Bedford, TX
- NPI 1194166132
Fannin County Hospital Authority
-
- Skilled Nursing Facility
- Bullard, TX
- NPI 1245070366
Fannin County Hospital Authority
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Windmill Village Rehabilitation & Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified
- Sep 7, 2012
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Priority Management
- Ownership change
- Changed ownership in the last 12 months
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251006003331 | TX | Part a Provider - Skilled Nursing Facility | 6002054764 | Practice locations: Lubbock, TX |
Skilled nursing facility certification: CCN 676318
Medicare enrollment files- Legal name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Doing business as
- WINDMILL VILLAGE REHABILITATION & CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 7, 2012
- Last certification
- May 20, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Priority Management Group
- Organization structure
- Government
- Enrollment address
- 507 Martin Luther King Blvd
Lubbock, TX 79403-5213 - Nursing home name
- WINDMILL VILLAGE REHABILITATION & CARE CENTER
- Affiliated entity
- PRIORITY MANAGEMENT
All disclosed owners & managing parties 10
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jessica N Whitesides | Adp of the SNF | Sep 1, 2025 | |
| PMG Opco - Lubbock LLC | Operational/Managerial Control | Sep 1, 2025 | |
| Steven Boulware Family Investments LLC | Adp of the SNF | Sep 1, 2025 | |
| Clark R Sanderson | Corporate Director | Sep 1, 2025 | |
| PMG Realco-Mabank, LLC | Adp of the SNF | Sep 1, 2025 | |
| Fannin County Hospital Authority | 5% Or Greater Direct Ownership Interest | Sep 1, 2025 | 100% |
| Boulware St James LLC | Adp of the SNF | Sep 1, 2025 | |
| Derek Skinner | Adp of the SNF | Sep 1, 2025 | |
| William M Bauder | Operational/Managerial Control | Sep 1, 2025 | |
| Bauder Family Investments, LLC | Adp of the SNF | Sep 1, 2025 |
All facility ownership & control disclosures 55
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| TMC Bonham Hospital | Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 2013 Jan 1, 2013 |
| TMC Bonham Hospital | Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 |
| Reunion Plaza Senior Care and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Heritage Plaza Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at Athens | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Wylie Oaks Healthcare and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| La Dora Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Fannin County Hospital Authority | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Interlochen Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at the Meadow | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Pleasant Springs Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Longmeadow Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| Texoma Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Downtown Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| North Park Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Paris | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Gladewater | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Greenville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Park Highland Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Ennis Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Avir at Jefferson | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Trucare Living Centers | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Veranda Rehabilitation and Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Trucare Living Center-Selma | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Village Healthcare and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2020 |
| Avir at Walnut Springs | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2020 |
| Avir at Kingsland | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2020 |
| Avir at Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| The Waterton Healthcare and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2022 |
| Harbor Valley Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Levelland Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Bangs Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Pampa Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 |
| Greenview Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Peach Tree Place | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| The Park in Plano | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Lakeshore Village Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Avir at Dallas | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Avir at Weatherford | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Treasure Hills Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Dec 1, 2023 |
| Grand Terrace Rehabilitation and Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| McAllen Transitional Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Alta Vista Rehabilitation and Health | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Cedar Lake Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Trucare Living Centers Columbus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| The Homestead of Denison | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2024 |
| Bluebonnet Point Wellness | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Avir at Citizens Trail | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2024 Jun 1, 2024 |
| Woodlands Place Rehabilitation Suites | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2024 |
| Belterra Health & Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2025 |
| Greenbrier Nursing & Rehabilitation Center of Palestine | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Crossroads Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Countryview Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| North Star Ranch Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 May 1, 2025 |
| Rockdale Estates & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
National Provider Directory
National Provider Directory- Tax ID family
- Fannin Cnty Hosp Authority
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Skilled Nursing Facility
- Ft Worth, TX
- NPI 1811018476
-
- Skilled Nursing Facility
- Mt Pleasant, TX
- NPI 1851720452
-
- Skilled Nursing Facility
- Gilmer, TX
- NPI 1871450577
-
- Skilled Nursing Facility
- Denison, TX
- NPI 1871974998
-
- Skilled Nursing Facility
- McAllen, TX
- NPI 1902132301
-
- Skilled Nursing Facility
- Paris, TX
- NPI 1902163686
-
- Skilled Nursing Facility
- McKinney, TX
- NPI 1902478035
-
- Skilled Nursing Facility
- Slaton, TX
- NPI 1932066636
-
- Skilled Nursing Facility
- McKinney, TX
- NPI 1932220076
-
- Skilled Nursing Facility
- McAllen, TX
- NPI 1942662416
-
- Skilled Nursing Facility
- Columbus, TX
- NPI 1952177040
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1962044255
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
507 Martin Luther King Blvd
Lubbock, TX 79403-5213
Mailing address
507 Martin Luther King Blvd
Lubbock, TX 79403-5213
Phone (806) 744-1113
Other names 1
NPPES NPI Registry- Windmill Village Rehabilitation & Care Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2025.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1962385682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 MARTIN LUTHER KING BLVD",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794035213",
"telephone_number": "806-744-1113",
"fax_number": "806-744-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 MARTIN LUTHER KING BLVD",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794035213",
"telephone_number": "806-744-1113",
"fax_number": "806-744-1060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "SANDERSON",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "817-372-7224"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Windmill Village Rehabilitation & Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.