Organization Active NPI

Runningwater Draw Care Center, Inc.

  • Skilled Nursing Facility
  • Olton, TX
National Provider Identifier
1972693406
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116634 Issued in TX
Legal business name
RUNNINGWATER DRAW CARE CENTER, INC.
Practice address
800 W 13TH St
Olton, TX 79064
Phone
(806) 285-2677
Fax
(806) 285-2176
NPI assigned
Oct 13, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mrs. Dona Lynn Kelley
Title
Administrator
Phone
(806) 285-2677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 116634 TX
Skilled Nursing Facility 314000000X 116634 TX Primary

Addresses

Primary practice location

800 W 13TH St
Olton, TX 79064

Mailing address

PO Box 409
Olton, TX 79064-0409
Phone (806) 285-2677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000126 TX Part A Provider - Skilled Nursing Facility 2668473695 Practice locations: Olton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972693406. Details of each certification follow.

Skilled nursing facility certification: CCN 675117

Legal name
RUNNINGWATER DRAW CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 9, 1993
Last certification
Feb 27, 2025
Beds
75
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 10, 1992 in TX
Enrollment address
800 West 13TH St
Olton, TX 79064-0409
Nursing home name
RUNNINGWATER DRAW CARE CENTER INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Runningwater Draw Care Center IncCCN 675117 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 9, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7565.7 residents per day on average
Penalties (3 years)
1Fines totaling $15,672

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
45D0876957Runningwater Draw Care Center800 West 13TH St, Olton, TX 79064Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Runningwater Draw Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

800 13th St
Olton, TX 79064
Phone (806) 285-2677

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Michael Perry Individual Corporate DirectorBoard Member Aug 1, 2020 5%
Dewey Hukill Individual Corporate DirectorBoard Chairman Oct 1, 2021 5%
Fran Ramage Individual Corporate DirectorBoard Member Oct 1, 2021 5%
Donice Johnson Individual Corporate Director May 1, 2023 5%
Runningwater Draw Care Center, Inc. Organization, Olton, TX Corporation, Non-profit Operational/Managerial Control Jan 1, 1993 100%
Adp of the SNF Jan 21, 2025
Danny Byers Individual Corporate OfficerBoard Vice Chairman Oct 1, 2021 5%
Individual Adp of the SNF Jan 21, 2025
Pam Jean Roberson Individual Corporate Director Apr 1, 2019 5%
Kelli Adams Individual W-2 Managing EmployeeBusiness Office Manager Nov 19, 1996
Floyd E Pirtle Individual Contracted Managing EmployeeMD; Aug 1, 2005
Laurey Riney Individual W-2 Managing EmployeeAd; Oct 23, 2021 50%
Mark Parish Individual Corporate DirectorBoard Member Oct 1, 2021 5%
Alan Debnam Individual Corporate Director Apr 1, 2017 5%
Hortensia Villanueva Individual Corporate DirectorBoard Member Jun 1, 2022 5%
Melanie Hoskins Individual Corporate Director Aug 1, 2020 5%

Owners & managing parties with NPI records 1

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

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1972693406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640409",
            "telephone_number": "806-285-2677",
            "fax_number": "806-285-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 13TH ST",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "79064",
            "telephone_number": "806-285-2677",
            "fax_number": "806-285-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNINGWATER DRAW CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-285-2677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "116634",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olton, TX

Sources for this page

Verify at the official NPI Registry.