NPIMap

Organization Active NPI

Guadalupe County Hospital Board

Doing business as San Pedro Manor

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1992799886
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUADALUPE COUNTY HOSPITAL BOARD
Doing business as
San Pedro Manor
Practice address
515 W Ashby PL
San Antonio, TX 78212-3802
Phone
(210) 732-5181
Fax
(210) 732-8663
NPI assigned
Sep 7, 2005
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Soon Burnam
Title
Secretary of Management Company
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

515 W Ashby PL
San Antonio, TX 78212-3802

Mailing address

515 W Ashby PL
San Antonio, TX 78212-3898
Phone (210) 732-5181

Other identifiers 1

IdentifierTypeStateIssuer
005211MedicaidTX

Other names 1

  • San Pedro Manor Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170810000396 TX Part A Provider - Skilled Nursing Facility 7315832722 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992799886. Details of each certification follow.

Skilled nursing facility certification: CCN 455689

Legal name
UVALDE COUNTY HOSPITAL AUTHORITY
Doing business as
SAN PEDRO MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 18, 1987
Last certification
Jun 27, 2024
Beds
150
Ownership / control type
Hospital District
Organization structure
OtherNon-profit
Enrollment address
515 W Ashby PL
San Antonio, TX 78212-3802

Care Compare: Nursing home

Medicare Care Compare
Listed as
San Pedro ManorCCN 455689 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Feb 18, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15096.8 residents per day on average
Penalties (3 years)
3Fines totaling $24,285

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
45D0890875San Pedro Manor515 W Ashby Place, San Antonio, TX 78212Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
GVH Dba Emergency Physi41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Beverly S Gutierrez Individual Operational/Managerial Control Feb 1, 2021
Managing Control - Governing BodyMedical Director Feb 1, 2021
Adp of the SNF Feb 1, 2021
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Oct 13, 2020
Joshua Every Individual Operational/Managerial ControlAdministrator Jan 13, 2022
Managing Control - Governing BodyAdministrator Jan 13, 2022
Adp of the SNF Jan 13, 2022
West Ashby Healthcare, Inc. Organization, San Antonio, TX Corporation Operational/Managerial Control Feb 1, 2021
Adp of the SNF Oct 13, 2025
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
515Wap, LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Feb 1, 2021
Adam Apolinar Individual Corporate OfficerCeo Uvalde County Hospitalauthority Jul 1, 2022
Uvalde County Hospital Authority Organization, Uvalde, TX 5% Or Greater Direct Ownership Interest Feb 1, 2021 100%
Soon Burnam Individual Corporate OfficerSecretary of Management Company Oct 13, 2020

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 41

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

FacilityTypeRoleSince
Uvalde Memorial HospitalUvalde, TX, CCN 451387 Hospital Operational/Managerial Control (100%) Jan 26, 1968
Uvalde Memorial HospitalUvalde, TX, CCN 45Z387 Hospital Operational/Managerial Control (100%) Jan 26, 1968
Avir at CampwoodCamp Wood, TX, CCN 675931 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2014
Briarcliff Nursing and Rehabilitation CenterMcAllen, TX, CCN 675162 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Aug 3, 2014
Oct 1, 2018
Apr 16, 2025
Oct 1, 2018
Rockport Nursing and Rehabilitation CenterRockport, TX, CCN 455974 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Aug 3, 2014
Oct 1, 2018
Apr 17, 2025
Avir at SnyderSnyder, TX, CCN 675646 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
Live Oak Nursing and Rehabilitation CenterGeorge West, TX, CCN 675104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 16, 2014
Oct 1, 2018
Apr 16, 2025
Laredo Nursing and Rehabilitation CenterLaredo, TX, CCN 676313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Kirkwood ManorNew Braunfels, TX, CCN 455732 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Carechoice of BoerneBoerne, TX, CCN 675678 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 23, 2015
Hilltop Village Nursing and Rehabilitation CenterKerrville, TX, CCN 455628 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
Laredo South Nursing and Rehabilitation CenterLaredo, TX, CCN 675396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2022
Apr 17, 2025
Windsor Nursing and Rehabilitation Center of San DiegoSan Diego, TX, CCN 675170 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Oct 1, 2022
Oct 1, 2022
Apr 18, 2025
Avir at San KnollSan Antonio, TX, CCN 455804 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Deer Creek Nursing and RehabilitationWimberley, TX, CCN 455917 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
Windsor Nursing and Rehabilitation Center of AliceAlice, TX, CCN 675309 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Oct 1, 2022
Oct 1, 2022
Apr 18, 2025
Laredo West Nursing and Rehabilitation CenterLaredo, TX, CCN 455528 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 1, 2022
Oct 1, 2022
Apr 17, 2025
San Antonio North Nursing and RehabilitationSan Antonio, TX, CCN 455817 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
Silver Creek Nursing and RehabilitationSan Antonio, TX, CCN 455652 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2017
Llano Nursing and Rehabilitation CenterLlano, TX, CCN 675076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
River Hills Health and Rehabilitation CenterKerrville, TX, CCN 676114 Skilled nursing facility Indirect Ownership Interest May 1, 2026
Memorial Medical Nursing and RehabilitationSan Antonio, TX, CCN 455597 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
Fox Hollow Post AcuteBrownsville, TX, CCN 676398 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
The Heights of BulverdeBulverde, TX, CCN 676418 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Mid Valley Nursing and RehabilitationMercedes, TX, CCN 676414 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
The Heights of AlamoAlamo, TX, CCN 676441 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Rosewood HeightsKilleen, TX, CCN 455503 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Harker Heights Nursing & RehabilitationHarker Heights, TX, CCN 675909 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Hill Country HeightsCopperas Cove, TX, CCN 675536 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Hidalgo Nursing and Rehabilitation CenterEdinburg, TX, CCN 676346 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2022
Jun 1, 2022
May 19, 2025
Carriage House ManorSulphur Springs, TX, CCN 675181 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
The Heights of League CityLeague City, TX, CCN 676153 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Ridgewood at the WoodlandsThe Woodlands, TX, CCN 675739 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Kingwood Rehabilitation and Healthcare CenterKingwood, TX, CCN 676160 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
The Heights at Medical CenterSan Antonio, TX, CCN 675890 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Avir at San AngeloSan Angelo, TX, CCN 676100 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Avir at Dripping SpringsDripping Springs, TX, CCN 675980 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
The Heights of MagnoliaMagnolia, TX, CCN 745058 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2025
St. Juanita Retirement and RehabSan Angelo, TX, CCN 745060 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Uvalde HospiceUvalde, TX, CCN 451675 Hospice 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1997
Sage Family Medicine AssociatesUvalde, TX, CCN 453936 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 5

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 3

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": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1992799886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W ASHBY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123898",
            "telephone_number": "210-732-5181",
            "fax_number": "210-737-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W ASHBY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123802",
            "telephone_number": "210-732-5181",
            "fax_number": "210-732-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005211",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "San Pedro Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Pedro Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.