Liberty County Hospital District No. 1
Organization Active NPI Skilled Nursing Facility · San Augustine, TX
NPI 1962496836 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1962496836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 116419 (TX)
- Legal business name
- LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
- Practice address
- 1203 FM 1277
San Augustine, TX 75972-1635 - Phone
- (936) 275-3412
- Fax
- (936) 275-5394
- NPI assigned
- Sep 7, 2005
- Organization subpart
- No
Authorized official
- Name
- C Bruce Stratton
- Title
- Board President
- Phone
- (936) 336-7400
Owners & managing parties with NPI records 17
Corporate family (same tax ID) 39
Facilities with the same owner 59
Practitioners 3
-
Joshua Dewayne Allen, D.O.
-
John H Oglesbee III, M.D.
Affiliated clinicians 2
-
John H Oglesbee III, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Colonial Pines Healthcare Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1994
- Medicare certification status
- Active
- Certified beds
- 107 · 41.5 residents per day on average
- Chain
- Stonegate Senior Living
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0884666 | Colonial Pines Healthcare Center | Certificate of waiver | Apr 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 675358
- Legal name
- LIBERTY COUNTY HOSPITAL DISTRICT NO 1
- Doing business as
- COLONIAL PINES HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 1, 1994
- Last certification
- Oct 29, 2024
- Beds
- 107
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 1203 FM 1277
San Augustine, TX 75972-1635 - Nursing home name
- COLONIAL PINES HEALTHCARE CENTER
- Affiliated entity
- STONEGATE SENIOR LIVING
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Amber Renee Waller |
Adp of the SNF | Jul 25, 2024 | |
| Martus Financial Services, Inc. |
Adp of the SNF | Dec 31, 2023 | |
| PF Colonial SNF Ops, LLC |
Operational/Managerial Control | Sep 23, 2021 | |
| Adp of the SNF | Dec 8, 2025 | ||
| Charles Bruce Stratton |
Corporate Officer |
May 1, 2005 | |
| Liberty County Hospital District No 1 |
5% Or Greater Direct Ownership Interest | Mar 31, 2017 | 100% |
| Deepti a Govathoti |
Adp of the SNF | Jan 1, 2023 | |
| Lifetime Wellness, LTD. |
Adp of the SNF | Sep 23, 2021 | |
| Joshua Tousha |
Operational/Managerial Control | Jan 2, 2023 | |
| Adp of the SNF | Jan 2, 2023 | ||
| Rehab Pro LP |
Adp of the SNF | Sep 23, 2021 | |
| Umb Bank National Association |
5% Or Greater Mortgage Interest | Sep 23, 2021 | 100% |
| Sanctuary LTC, LLC |
Adp of the SNF | Sep 23, 2021 | |
| Stonegate Senior Living, LP |
Operational/Managerial Control | Jun 22, 2022 | |
| Adp of the SNF | Dec 8, 2025 | ||
| Pharmerica Drug Systems LLC |
Adp of the SNF | Aug 27, 2017 | |
| Preservation Freehold Company |
Adp of the SNF | Sep 23, 2021 |
All facility ownership & control disclosures 37
| Facility | Type | Role | Since |
|---|---|---|---|
| Liberty Dayton Regional Medical Center |
Hospital | Operational/Managerial Control | Oct 1, 2014 |
| Liberty Dayton Regional Medical Center |
Hospital | Operational/Managerial Control | Oct 1, 2014 |
| Cascades at Senior Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| Jefferson Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Nov 30, 2014 Jan 1, 2015 Mar 21, 2025 |
| College Street Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| The Phoenix Post-Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Southland Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Timberwood Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Bremond Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Pine Grove Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Briarcliff Skilled Nursing Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Cass Valley Healthcare Center |
Skilled nursing facility | Operational/Managerial Control (100%) | Apr 1, 2017 |
| Harbor Point Skilled Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| The Heights of Tomball |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| The Heights of Tyler |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at North Houston |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| East View Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mason Creek Transitional Care of Katy |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Copperfield Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Misty Willow Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Legend Oaks Healthcare and Rehabilitation-Northwest Houston |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avalon Place Kirbyville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| The Courtyards at Pasadena |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Bridgecrest Rehabilitation Suites |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| River Pointe of Trinity Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Legacy at Town Creek |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Pasadena Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2022 |
| Whisperwood Nursing & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Vidor Health & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Fairfield Nursing & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Greenbrier Nursing & Rehabilitation Center of Tyler |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Twin Oaks Health & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Caprock Nursing & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Five Points Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Pine Tree Lodge Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Mesa Hills Post Acute |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| Liberty Dayton Medical Clinic |
Rural health clinic | Operational/Managerial Control | May 4, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170518000995 | TX | Part a Provider - Skilled Nursing Facility | 3678766227 | Practice locations: San Augustine, TX |
National Provider Directory
- Tax ID family
- Liberty County Hospital District No1
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 116419 | TX | Yes |
Addresses
Primary practice location
1203 FM 1277
San Augustine, TX 75972-1635
Mailing address
1500 Waters Ridge Dr
Suite 200
Lewisville, TX 75057-6011
Phone (972) 899-4152
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001003341 | Medicaid | TX | |
| 148994001 | Other | TX | MEDICAID CO B |
Other names
- Colonial Pines Healthcare Center
Other providers in San Augustine, TX
- John H III & Sharon Oglesbee
- Konstant Kontact Services LLC
- Gregory Landerman
- Lisa Michelle Lane
- Charles K Layton
- Mathews Rental Inc
- Henry Eugene McLemore
- Memorial Hospital San Augustine
- Memorial Medical Center San Augustine
- Memorial Medical Center-San Augustine
All providers in San Augustine, 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 Dec 5, 2022. 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.