NPIMap

Organization Active NPI

Stratford Hospital District

  • Skilled Nursing Facility
  • Lubbock, TX
National Provider Identifier
1992902498
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STRATFORD HOSPITAL DISTRICT
Practice address
4306 24TH St
Lubbock, TX 79410-1818
Phone
(806) 793-2555
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Richard Chumley
Title
President
Phone
(806) 396-5568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4306 24TH St
Lubbock, TX 79410-1818

Mailing address

1111 Beaver Road
Stratford, TX 79084
Phone (806) 396-2844

Other identifiers 1

IdentifierTypeStateIssuer
001015201MedicaidTX

Other names 1

  • Lakeside Rehabilitation and Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141224000601 TX Part A Provider - Skilled Nursing Facility 0648172171 Practice locations: Lubbock, TX

Skilled nursing facility certification: CCN 675093

Legal name
STRATFORD HOSPITAL DISTRICT
Doing business as
LAKESIDE REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 10, 1992
Last certification
Apr 10, 2025
Beds
93
Ownership / control type
Corporation
Multi-facility organization
Sky Blue HCG
Organization structure
OtherProprietary
Enrollment address
4306 24TH St
Lubbock, TX 79410-1818
Nursing home name
LAKESIDE REHABILITATION AND CARE CENTER
Affiliated entity
SKYBLUE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeside Rehabilitation and Care CenterCCN 675093
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9359.4 residents per day on average
Chain
Skyblue Healthcare12 facilities in the chain
Penalties (3 years)
1Fines totaling $8,994

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
45D0712646Stratford Hospital District4306 24TH Street, Lubbock, TX 79410Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Stratford Hospital Dist39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Stratford Hospital District Organization, Lubbock, TX 5% Or Greater Direct Ownership Interest Dec 1, 2017 100%
Operational/Managerial Control Dec 1, 2017
Adp of the SNF Mar 31, 2025
David M Ganz Individual Operational/Managerial Control Feb 1, 2018
Adp of the SNF Feb 1, 2018
Leonda Fedric Individual Corporate DirectorBoard Member Jan 1, 2013
Cecil W Wright Individual Corporate DirectorBoard Member Sep 16, 2014
Skyblue Healthcare Management LLC Organization, Houston, TX LLC Operational/Managerial Control Feb 1, 2018
Janet M Reinart Individual Corporate DirectorBoard Secretary May 1, 2010
Cecily Yelek Individual Corporate DirectorBoard Member Jan 1, 2013
Richard L Chumley Individual Corporate DirectorBoard President May 1, 2007
Derek Skinner Individual Operational/Managerial Control Dec 1, 2017
Adp of the SNF Dec 1, 2017
Dusty Fleming Individual Operational/Managerial Control Feb 17, 2025
Adp of the SNF Feb 17, 2025
Laura Davis Individual Corporate DirectorCeo Dec 1, 2014

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 29

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

FacilityTypeRoleSince
Avir at LubbockLubbock, TX, CCN 455940 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2018
Avir at Heritage OaksLubbock, TX, CCN 675346 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2019
Avir at SweetwaterSweetwater, TX, CCN 455946 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Avir at Arbor TerraceSan Angelo, TX, CCN 675932 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2022
Avir at BorgerBorger, TX, CCN 455989 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Avir at PampaPampa, TX, CCN 675049 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 31, 2014
Focused Care at LamesaLamesa, TX, CCN 455936 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 27, 2016
Nov 1, 2017
Hillside Heights Rehabilitation SuitesAmarillo, TX, CCN 675498 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 26, 2020
Legacy Rehabilitation and LivingAmarillo, TX, CCN 676010 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 2, 2015
Brownfield Rehabilitation and Care CenterBrownfield, TX, CCN 675182 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Kirkland Court Health and Rehabilitation CenterAmarillo, TX, CCN 675336 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2017
Feb 25, 2025
Post Nursing & Rehab CenterPost, TX, CCN 675716 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2017
Avir at WestonTemple, TX, CCN 675797 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Stonebridge Health RehabAustin, TX, CCN 675649 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Sagebrook Nursing and RehabilitationCedar Park, TX, CCN 675937 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Avir at Meadow CreekSan Angelo, TX, CCN 676031 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Avir at Park BendAustin, TX, CCN 675862 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Hearthstone Nursing and RehabilitationRound Rock, TX, CCN 455771 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Regency HouseSan Angelo, TX, CCN 675767 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Cypress Springs Wellness & RehabilitationMount Vernon, TX, CCN 676477 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2021
Quitman Wellness & RehabilitationQuitman, TX, CCN 675553 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2021
Avir at Western HillsTemple, TX, CCN 455785 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Mineola Gardens Wellness & RehabilitationMineola, TX, CCN 675981 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Mesquite Village Wellness & RehabilitationMesquite, TX, CCN 676480 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Caraday of LampasasLampasas, TX, CCN 676473 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Avir at Temple EastTemple, TX, CCN 675946 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Avir at Temple WestTemple, TX, CCN 455522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Avir at Corpus ChristiCorpus Christi, TX, CCN 455697 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Stratford Family Medical ClinicStratford, TX, CCN 673938 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 25, 1998
Sep 25, 1998

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1992902498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BEAVER ROAD",
            "city": "STRATFORD",
            "state": "TX",
            "postal_code": "79084",
            "telephone_number": "806-396-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101818",
            "telephone_number": "806-793-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "CHUMLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-396-5568"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.