Fannin County Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

Longmeadow Healthcare Center

Practice address

120 Meadow View Dr
Justin, TX 76247-9639

Phone

(940) 648-2731

NPI assigned

Nov 4, 2013

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelle C Santoro

Title

Sr Director Ar

Phone

(832) 467-5728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Longmeadow Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982033585. Details of each certification follow.

• CCN 675185 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675185

Legal name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

LONGMEADOW HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 4, 1993

Last certification

May 6, 2025

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

CREATIVE SOLUTIONS HEALTHCARE

Most recent change of ownership

Mar 31, 2017

Organization structure

OtherNon-profit

Enrollment address

120 Meadow View Dr
Justin, TX 76247-9639

Nursing home name

LONGMEADOW HEALTHCARE CENTER

Affiliated entity

CREATIVE SOLUTIONS IN HEALTHCARE

Listed as

Longmeadow Healthcare CenterCCN 675185 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 4, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12098.2 residents per day on average

Chain

Creative Solutions in Healthcare149 facilities in the chain

Penalties (3 years)

2Fines totaling $28,869

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Fannin County Hospital Authority72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Fannin County Hospital Authority

  dba Woodlands Place Rehabilitation Suites

  • Skilled Nursing Facility
  • Denison, TX
  • NPI 1871974998
  NPD tax ID
• Fannin County Hospital Authority

  dba Grand Terrace Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • McAllen, TX
  • NPI 1902132301
  NPD tax ID
• Fannin County Hospital Authority

  dba Stillhouse Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1902163686
  NPD tax ID
• Fannin County Hospital Authority

  dba Belterra Health & Rehab

  • Skilled Nursing Facility
  • McKinney, TX
  • NPI 1902478035
  NPD tax ID
• Fannin County Hospital Authority

  dba Slaton Care Center

  • Skilled Nursing Facility
  • Slaton, TX
  • NPI 1932066636
  NPD tax ID
• Fannin County Hospital Authority

  dba North Park Health and Rehabilitation Center

  • Skilled Nursing Facility
  • McKinney, TX
  • NPI 1932220076
  NPD tax ID
• Fannin County Hospital Authority

  dba McAllen Transitional Care Center

  • Skilled Nursing Facility
  • McAllen, TX
  • NPI 1942662416
  NPD tax ID
• Fannin County Hospital Authority

  dba Trucare Living Centers Columbus

  • Skilled Nursing Facility
  • Columbus, TX
  • NPI 1952177040
  NPD tax ID
• Fannin County Hospital Authority

  dba Harbor Valley Health and Rehabilitation

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1962044255
  NPD tax ID
• Fannin County Hospital Authority

  dba Windmill Village Rehabilitation & Care Center

  • Skilled Nursing Facility
  • Lubbock, TX
  • NPI 1962385682
  NPD tax ID
• Fannin County Hospital Authority

  dba Avir at Walnut Springs

  • Skilled Nursing Facility
  • Seguin, TX
  • NPI 1972112381
  NPD tax ID
• Fannin County Hospital Authority

  dba Avir at Wiggins Parkway

  • Skilled Nursing Facility
  • Mesquite, TX
  • NPI 1972320844
  NPD tax ID

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Jason Kelley Tibbels, MD

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1215904222

  Adp of the SNF

  CMS ownership

All facility ownership & control disclosures 55

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 55

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

• Fannin County Hospital Authority

  dba Avir at Citizens Trail

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1033972427

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Levelland Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Levelland, TX
  • NPI 1063533511

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Weatherford

  • Skilled Nursing Facility
  • Weatherford, TX
  • NPI 1073634366

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Healthcare and Rehabilitation - Paris

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1093176968

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Treasure Hills Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1104470293

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Healthcare and Rehabilitation - Greenville

  • Skilled Nursing Facility
  • Greenville, TX
  • NPI 1114388089

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Jefferson

  • Skilled Nursing Facility
  • Jefferson, TX
  • NPI 1124495486

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Avir at Terrell

  • Skilled Nursing Facility
  • Terrell, TX
  • NPI 1124851456

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Heritage Plaza Nursing Center

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1134113947

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Legend Oaks Healthcare and Rehabilitation Center Gladewater

  • Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1144680471

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba La Dora Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1194166132

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  dba Bluebonnet Point Wellness

  • Skilled Nursing Facility
  • Bullard, TX
  • NPI 1245070366

  Fannin County Hospital Authority

  CMS ownership

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.

• Nakizito N Kazigo, M.D.

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1528263852
  NPD (past)
• Jason Kelley Tibbels, MD

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1215904222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1982033585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEADOW VIEW DR",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762479639",
            "telephone_number": "940-648-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longmeadow Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Longmeadow Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elite Surgical, P.C.
• Hilary Ely
• Anayely Escobar
• Yarely Suide Guadalupe Euan Lopez, REGISTERED DIETITIAN
• Kathryn Jean Fagan, DC
• Scott Allen Fletcher, L.A.T.
• Morgan Elizabeth Flom
• Jessica Rose Forestier, CCC-SLP
• Justin Tisdal Freas
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• Skilled Nursing Facility in Justin, TX
• Providers in Justin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.

Verify at the official NPI Registry.