Texas Department of Aging and Disability Services
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- Earl Anderson
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1 Texas Department of Aging and Disability Services Nursing Facility Directory Sorted by: County, City, Facility Name County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Facility Information: Facility ID: ELKHART OAKS CARE CENTER PINNACLE HEALTH FACILITIES OF TEXAS VIII LP 214 JONES RD 5420 W PLANO PKWY ELKHART TX PLANO TX Phone (903) Fax (903) TOTAL Lic Capacity: 102 TITLE 18: 19 PHONE: (972) FAX: (972) TITLE 18/19: 83 License Exp Dt: 07/06/2016 County ANDERSON Reg Svcs: TYLER SW TEAM Facility Information: Facility ID: FRANKSTON HEALTHCARE CENTER LP FRANKSTON HEALTHCARE CENTER LP 303 MURCHISON 401 N ELM STREET FRANKSTON TX DENTON TX Phone (903) Fax (903) TOTAL Lic Capacity: 76 TITLE 18: 21 PHONE: (940) FAX: (940) TITLE 18/19: 55 License Exp Dt: 03/01/2018 County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Facility Information: Facility ID: CARTMELL HOME FOR AGED, INC. CARTMELL HOME FOR AGED INC 2212 W REAGAN ST 2212 W REAGAN ST PALESTINE TX PALESTINE TX Phone (903) Fax (903) TOTAL Lic Capacity: 199 TITLE 18: 45 PHONE: (903) FAX: (903) Cert Alzh Capacity: 35 TITLE 18/19: 154 License Exp Dt: 02/16/2016 County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Facility Information: Facility ID: GREENBRIER NURSING & REHABILITATION CENTER OF PALESTINE PALESTINE I ENTERPRISES LLC 2404 HWY RIVER RUN,STE 304 PALESTINE TX FORT WORTH TX Phone (903) Fax (903) TITLE 18: 29 PHONE: (817) FAX: (817) TITLE 18/19: 91 License Exp Dt: 11/01/2017 County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Facility Information: Facility ID: PALESTINE HEALTHCARE CENTER FANNIN COUNTY HOSPITAL AUTHORITY 1816 TILE FACTORY RD 504 LIPSCOMB BLVD PALESTINE TX BONHAM TX Phone (903) Fax (903) TOTAL Lic Capacity: 110 TITLE 18: 17 PHONE: (903) FAX: (903) TITLE 18/19: 93 License Exp Dt: 02/04/2016 County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Facility Information: Facility ID: TRUCARE LIVING CENTERS PALESTINE DEVELOPMENT GROUP LLC 2265 S SYCAMORE ST 8520 S 36TH TERRACE PALESTINE TX FORT SMITH AZ Phone (903) Fax (903) TITLE 18: 11 PHONE: (479) FAX: (479) TITLE 18/19: 109 License Exp Dt: 07/22/2018 Tuesday, September 08, 2015 Page 1 of 202
2 County ANDREWS Reg Svcs: MIDLAND GERIATRIC Region 09 - ABILENE Facility Information: Facility ID: PERMIAN RESIDENTIAL CARE CENTER ANDREWS COUNTY HOSPITAL DISTRICT 1601 NE MUSTANG 720 HOSPITAL DR ANDREWS TX ANDREWS TX Phone (432) Fax (432) TOTAL Lic Capacity: 90 PHONE: (432) FAX: TITLE 18/19: 90 License Exp Dt: 02/12/2017 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: TRINITY NURSING AND REHABILITATION OF DIBOLL LP TRINITY NURSING AND REHABILITATION OF DIBOLL LP 900 S TEMPLE DR 401 N ELM ST DIBOLL TX DENTON TX Phone (936) Fax (936) TOTAL Lic Capacity: 82 TITLE 18: 3 PHONE: (940) FAX: (940) TITLE 18/19: 79 License Exp Dt: 07/01/2015 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: HUNTINGTON HEALTH CARE & REHABILITATION CENTER HUNTINGTON HEALTH CARE & REHABILITATION CENTER LTD 220 E ASH STREET 220 EAST ASH STREET HUNTINGTON TX HUNTINGTON TX Phone (936) Fax (936) TOTAL Lic Capacity: 112 TITLE 18: 18 PHONE: (936) FAX: (936) TITLE 18/19: 94 License Exp Dt: 03/17/2018 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: CASTLE PINES HEALTH AND REHABILITATION LUFKIN I ENTERPRISES LLC 2414 W FRANK AVE 1701 RIVER RUN,STE 304 LUFKIN TX FORT WORTH TX Phone (936) Fax (936) TITLE 18: 26 PHONE: (817) FAX: (817) TITLE 18/19: 94 License Exp Dt: 05/01/2018 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: LARKSPUR STONELEIGH HEALTH CARE CENTER LTD CO 201 SOUTH JOHN REDDITT DRIVE 2537 GOLDEN BEAR DR LUFKIN TX CARROLLTON TX Phone (936) Fax (936) TITLE 18: 21 PHONE: FAX: TITLE 18/19: 99 License Exp Dt: 01/01/2018 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: LUFKIN SKILLED CARE LUFKIN II ENTERPRISES LLC 504 N JOHN REDDITT DR 1701 RIVER RUN SUITE 304 LUFKIN TX FORT WORTH TX Phone (936) Fax (936) TOTAL Lic Capacity: 145 TITLE 18: 11 PHONE: (817) FAX: (817) TITLE 18/19: 134 License Exp Dt: 10/01/2015 Tuesday, September 08, 2015 Page 2 of 202
3 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: PARKWOOD PLACE HEALTHCARE CENTER LUFKIN SNF LLC 300 N BYNUM 6813 CACTUS DR LUFKIN TX WACO TX Phone (936) Fax (936) TOTAL Lic Capacity: 115 PHONE: (254) FAX: (254) PRIVATE Beds: 2 TITLE 18/19: 113 License Exp Dt: 10/21/2017 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: PINECREST RETIREMENT COMMUNITY MRC PINECREST 1302 TOM TEMPLE DR 1440 LAKE FRONT CIRCLE,STE 110 LUFKIN TX THE WOODLANDS TX Phone (936) Fax (936) TOTAL Lic Capacity: 60 TITLE 18: 60 PHONE: (281) FAX: (281) Cert Alzh Capacity: 20 PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 0 License Exp Dt: 01/26/2017 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 05 - BEAUMONT Facility Information: Facility ID: SOUTHLAND REHABILITATION AND HEALTHCARE CENTER LIBERTY COUNTY HOSPITAL DISTRICT NO N MEDFORD DR 1353 TRAVIS ST LUFKIN TX LIBERTY TX Phone (936) Fax (936) TOTAL Lic Capacity: 150 TITLE 18: 3 PHONE: (936) FAX: (936) TITLE 18/19: 147 License Exp Dt: 05/01/2016 County ARANSAS Reg Svcs: CORPUS CHRISTI 11 Region 11 - CORPUS CHRISTI Facility Information: Facility ID: GULF POINTE PLAZA MERIDIAN ROCKPORT SNF LP 1008 ENTERPRISE BLVD 3811 TURTLE CREEK BLVD,STE 1050 ROCKPORT TX Phone (361) Fax (361) TITLE 18: 5 PHONE: (214) FAX: (214) TITLE 18/19: 115 License Exp Dt: 09/01/2015 County ARANSAS Reg Svcs: CORPUS CHRISTI 11 Region 11 - CORPUS CHRISTI Facility Information: Facility ID: OAK CREST NURSING CENTER UVALDE COUNTY HOSPITAL AUTHORITY 1902 FM GARNER FIELD RD ROCKPORT TX UVALDE TX Phone (361) Fax (361) TOTAL Lic Capacity: 92 TITLE 18: 11 PHONE: (830) FAX: (830) TITLE 18/19: 81 License Exp Dt: 08/03/2015 County ARANSAS Reg Svcs: CORPUS CHRISTI 11 Region 11 - CORPUS CHRISTI Facility Information: Facility ID: ROCKPORT COASTAL CARE CENTER INC ROCKPORT COASTAL CARE CENTER INC 1004 S YOUNG 1004 S YOUNG ROCKPORT TX ROCKPORT TX Phone (361) Fax (361) TOTAL Lic Capacity: 88 PHONE: (361) FAX: (361) TITLE 18/19: 88 License Exp Dt: 03/01/2016 Tuesday, September 08, 2015 Page 3 of 202
4 County ARCHER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 - ABILENE Facility Information: Facility ID: ARCHER CITY NURSING CENTER ARCHER HEALTHCARE PROVIDERS, LLC 201 E CHESTNUT ST CHASEMORE DRIVE ARCHER CITY TX SPRING TX Phone (940) Fax (940) TOTAL Lic Capacity: 46 TITLE 18: 2 PHONE: (832) FAX: TITLE 18/19: 44 License Exp Dt: 04/01/2016 County ARMSTRONG Reg Svcs: HIGH PLAINS GERI 1 Region 01 - LUBBOCK Facility Information: Facility ID: PALO DURO NURSING HOME CHILDRESS COUNTY HOSPITAL DISTRICT 405 S COLLINS ST 901 US HIGHWAY 83 NORTH CLAUDE TX CHILDRESS TX Phone (806) Fax (806) TOTAL Lic Capacity: 66 PHONE: (940) FAX: (940) TITLE 18/19: 66 License Exp Dt: 12/01/2017 County ATASCOSA Reg Svcs: TEAM V Facility Information: Facility ID: RETAMA MANOR NURSING CENTER/JOURDANTON DIMMIT REGIONAL HOSPITAL DISTRICT 1504 OAK ST 704 HOSPITAL DR JOURDANTON TX CARRIZO SPRINGS TX Phone (830) Fax (830) TOTAL Lic Capacity: 60 PHONE: (830) FAX: (830) TITLE 18/19: 60 License Exp Dt: 06/01/2016 County ATASCOSA Reg Svcs: TEAM Y Facility Information: Facility ID: LYTLE NURSING HOME LABRANJOR HEALTH CARE LLC OAK ST OAK ST LYTLE TX LYTLE TX Phone (830) Fax (830) TOTAL Lic Capacity: 70 PHONE: (940) FAX: (941) TITLE 18/19: 70 License Exp Dt: 05/30/2018 County ATASCOSA Reg Svcs: TEAM W Facility Information: Facility ID: RETAMA MANOR NURSING CENTER/PLEASANTON NORTH DIMMIT REGIONAL HOSPITAL DISTRICT 404 GOODWIN ST 704 HOSPITAL DR PLEASANTON TX CARRIZO SPRINGS TX Phone (830) Fax (830) TOTAL Lic Capacity: 46 PHONE: (830) FAX: (830) TITLE 18/19: 46 License Exp Dt: 02/28/2016 County ATASCOSA Reg Svcs: TEAM W Facility Information: Facility ID: RETAMA MANOR NURSING CENTER/PLEASANTON SOUTH DIMMIT REGIONAL HOSPITAL DISTRICT 905 OAKLAWN 704 HOSPITAL DR PLEASANTON TX CARRIZO SPRINGS TX Phone (830) Fax (830) TOTAL Lic Capacity: 88 TITLE 18: 4 PHONE: (830) FAX: (830) Cert Alzh Capacity: 16 TITLE 18/19: 84 License Exp Dt: 02/28/2016 Tuesday, September 08, 2015 Page 4 of 202
5 County ATASCOSA Reg Svcs: TEAM X Facility Information: Facility ID: THE HEIGHTS BEXAR COUNTY HOSPITAL DISTRICT 1855 W GOODWIN 4502 MEDICAL DR,MS#65-1 PLEASANTON TX SAN ANTONIO TX Phone (830) Fax (830) TOTAL Lic Capacity: 100 PHONE: (210) FAX: (210) TITLE 18/19: 100 License Exp Dt: 02/28/2016 County ATASCOSA Reg Svcs: TEAM X Facility Information: Facility ID: LEGACY LIVING CENTERS POTEET MANOR INC 329 SCHOOL DR PO BOX 519 POTEET TX SULPHUR OK Phone (830) Fax (830) TOTAL Lic Capacity: 62 TITLE 18: 17 PHONE: (580) FAX: (580) TITLE 18/19: 45 License Exp Dt: 11/01/2017 County AUSTIN Reg Svcs: UNIT 16 Facility Information: Facility ID: BRIARWOOD MANOR CARE CENTER LTC OF AUSTIN COUNTY III LLC 1515 W MAIN 1515 W MAIN BELLVILLE TX BELLVILLE TX Phone (979) Fax (979) TOTAL Lic Capacity: 100 PHONE: (832) FAX: (866) TITLE19: 53 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY PRIVATE Beds: 47 TITLE 18/19: 0 License Exp Dt: 10/01/2017 County AUSTIN Reg Svcs: UNIT 15 Facility Information: Facility ID: COLONIAL BELLE NURSING HOME LTC OF AUSTIN COUNTY II LLC 106 N BARON 106 N BARON BELLVILLE TX BELLVILLE TX Phone (979) Fax (979) TOTAL Lic Capacity: 85 PHONE: (832) FAX: (866) TITLE19: 54 PRIVATE Beds: 11 TITLE 18/19: 20 License Exp Dt: 10/01/2017 County AUSTIN Reg Svcs: UNIT 15 Facility Information: Facility ID: COLONIAL BELLE NURSING HOME SEALY LTC OF AUSTIN COUNTY I LLC 1401 EAGLE LAKE ROAD 1401 EAGLE LAKE RD SEALY TX SEALY TX Phone (979) Fax (979) TOTAL Lic Capacity: 90 PHONE: (713) FAX: (832) TITLE19: 67 PRIVATE Beds: 3 TITLE 18/19: 20 License Exp Dt: 10/01/2017 County BAILEY Reg Svcs: HIGH PLAINS GERI 2 Region 01 - LUBBOCK Facility Information: Facility ID: PARK VIEW NURSING CARE CENTER MULESHOE AREA HOSPITAL DISTRICT 1100 W AVE J 708 S FIRST ST MULESHOE TX MULESHOE TX Phone (806) Fax (806) TOTAL Lic Capacity: 74 TITLE 18: 19 PHONE: (806) FAX: TITLE 18/19: 55 License Exp Dt: 02/14/2016 Tuesday, September 08, 2015 Page 5 of 202
6 County BANDERA Reg Svcs: TEAM X Facility Information: Facility ID: BANDERA NURSING & REHAB CENTER BANDERA SCC LLC 222 FM N PEARL ST,STE 1100 BANDERA TX Phone (830) Fax (830) TOTAL Lic Capacity: 124 TITLE 18: 34 PHONE: (214) FAX: (214) TITLE 18/19: 90 License Exp Dt: 02/01/2016 County BANDERA Reg Svcs: TEAM X Facility Information: Facility ID: CEDAR CREEK NURSING AND REHABILITATION CENTER BANDERA I ENTERPRISES LLC 159 MONTAGUE AVE 1701 RIVER RUN,STE 304 BANDERA TX FORT WORTH TX Phone (830) Fax (830) TOTAL Lic Capacity: 62 TITLE 18: 14 PHONE: (817) FAX: (817) TITLE 18/19: 48 License Exp Dt: 10/01/2017 County BASTROP Reg Svcs: BRENHAM Facility Information: Facility ID: BASTROP LOST PINES NURSING AND REHABILITATION CENTER SMITHVILLE HOSPITAL AUTHORITY 430 OLD AUSTIN HWY 800 HIGHWAY 71 EAST BASTROP TX SMITHVILLE TX Phone (512) Fax (512) TITLE 18: 11 PHONE: (512) FAX: (512) TITLE 18/19: 109 License Exp Dt: 02/01/2016 County BASTROP Reg Svcs: BRENHAM Facility Information: Facility ID: BASTROP NURSING CENTER SSC BASTROP OPERATING COMPANY LLC 400 OLD AUSTIN HWY ONE RAVINIA DR,STE 1500 BASTROP TX ATLANTA GA Phone (512) Fax (512) TOTAL Lic Capacity: 96 TITLE 18: 19 PHONE: (770) FAX: (770) TITLE 18/19: 77 License Exp Dt: 10/11/2016 County BASTROP Reg Svcs: BRENHAM Facility Information: Facility ID: SILVER PINES NURSING AND REHABILITATION LP SILVER PINES NURSING AND REHABILITATION LP 503 OLD AUSTIN HIGHWAY 401 N ELM ST BASTROP TX DENTON TX Phone (512) Fax (512) TITLE 18: 51 PHONE: (940) FAX: (940) TITLE 18/19: 69 License Exp Dt: 02/01/2017 County BASTROP Reg Svcs: BRENHAM Facility Information: Facility ID: ELGIN NURSING AND REHABILITATION CENTER SMITHVILLE HOSPITAL AUTHORITY 1373 NORTH AVENUE C 800 HIGHWAY 71 EAST ELGIN TX SMITHVILLE TX Phone (512) Fax (512) PHONE: (512) FAX: (512) TITLE 18/19: 120 License Exp Dt: 02/01/2016 Tuesday, September 08, 2015 Page 6 of 202
7 County BASTROP Reg Svcs: BRENHAM Facility Information: Facility ID: TOWERS NURSING HOME SETON FAMILY OF HOSPITALS 907 GARWOOD 1345 PHILOMENA ST,STE SMITHVILLE TX AUSTIN TX Phone (512) Fax (512) TOTAL Lic Capacity: 114 TITLE 18: 17 PHONE: (512) FAX: TITLE 18/19: 97 License Exp Dt: 07/01/2016 County BAYLOR Reg Svcs: WICHITA FALLS GERIATRIC Region 02 - ABILENE Facility Information: Facility ID: SEYMOUR REHABILITATION AND HEALTHCARE BAYLOR COUNTY HOSPITAL DISTRICT 1110 WESTVIEW DR 200 STADIUM DR SEYMOUR TX SEYMOUR TX Phone (940) Fax (940) TOTAL Lic Capacity: 90 TITLE 18: 20 PHONE: (940) FAX: (940) TITLE 18/19: 70 License Exp Dt: 10/01/2015 County BEE Reg Svcs: CORPUS CHRISTI 10 Region 11 - CORPUS CHRISTI Facility Information: Facility ID: HACIENDA OAKS AT BEEVILLE PINNACLE HEALTH FACILITIES OF TEXAS IX LP 4713 BUSINESS 181 N 5420 W PLANO PARKWAY BEEVILLE TX PLANO TX Phone (361) Fax (361) TOTAL Lic Capacity: 101 TITLE 18: 9 PHONE: (972) FAX: (972) TITLE 18/19: 92 License Exp Dt: 07/06/2016 County BEE Reg Svcs: CORPUS CHRISTI 10 Region 11 - CORPUS CHRISTI Facility Information: Facility ID: WOODRIDGE NURSING & REHABILITATION PINNACLE HEALTH FACILITIES XV LP 600 S HILLSIDE DR 5420 W PLANO PKWY BEEVILLE TX PLANO TX Phone (361) Fax (361) TITLE 18: 21 PHONE: (972) FAX: (972) TITLE 18/19: 99 License Exp Dt: 11/01/2015 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: WILL-O-BELL WOB FACILITY MANAGEMENT LLC 412 N DALTON 412 N DALTON ST BARTLETT TX BARTLETT TX Phone (254) Fax (254) TOTAL Lic Capacity: 90 TITLE 18: 2 PHONE: (254) FAX: (254) TITLE 18/19: 88 License Exp Dt: 09/01/2017 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: CREEKSIDE TERRACE REHABILITATION CRESTVIEW MANOR NURSING AND REHABILITATION CENTER LLC 1103 MARY JANE ST 1555 POWELL AVE BELTON TX BELTON TX Phone (254) Fax (254) TOTAL Lic Capacity: 126 TITLE 18: 18 PHONE: (254) FAX: (254) TITLE 18/19: 108 License Exp Dt: 07/01/2017 Tuesday, September 08, 2015 Page 7 of 202
8 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: PARK PLACE MANOR INC PARK PLACE MANOR INC 810 E 13TH AVE 810 EAST 13TH AVE BELTON TX BELTON TX Phone (254) Fax (254) TOTAL Lic Capacity: 114 PHONE: (254) FAX: (254) TITLE 18/19: 114 License Exp Dt: 09/30/2016 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: INDIAN OAKS LIVING CENTER PM MANAGEMENT - KILLEEN II NC LLC 415 INDIAN OAKS DR 600 NORTH PEARL ST,STE 1100 HARKER HEIGHTS TX Phone (254) Fax (254) TOTAL Lic Capacity: 199 TITLE 18: 12 PHONE: (214) FAX: (214) TITLE 18/19: 187 License Exp Dt: 04/01/2018 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: THE ROSEWOOD RETIREMENT COMMUNITY PM MANAGEMENT - KILLEEN I NC LLC 5700 E CENTRAL TEXAS EXPWY 600 NORTH PEARL ST,STE 1100 KILLEEN TX Phone (254) Fax (254) TOTAL Lic Capacity: 64 TITLE 18: 9 PHONE: (214) FAX: (214) TITLE 18/19: 55 License Exp Dt: 04/01/2018 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: CORNERSTONE GARDENS LLP CORNERSTONE GARDENS LLP 763 MARLANDWOOD RD 7150 GANTT ACCESS TEMPLE TX AZLE TX Phone (254) Fax (254) TOTAL Lic Capacity: 130 TITLE 18: 6 PHONE: (817) FAX: (817) TITLE 18/19: 124 License Exp Dt: 10/17/2015 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: REGENCY MANOR HEALTHCARE CENTER GOODALL-WITCHER HOSPITAL AUTHORITY 3011 W ADAMS AVE 101 POSEY AVE TEMPLE TX CLIFTON TX Phone (254) Fax (254) TOTAL Lic Capacity: 140 TITLE 18: 36 PHONE: (254) FAX: (254) TITLE 18/19: 104 License Exp Dt: 11/01/2017 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: SENIOR CARE OF MARLANDWOOD EAST MARLANDWOOD EAST SCC LLC 1511 MARLANDWOOD RD 600 N PEARL ST,STE 1100 TEMPLE TX Phone (254) Fax (254) TOTAL Lic Capacity: 138 PHONE: (214) FAX: (214) TITLE 18/19: 138 License Exp Dt: 01/01/2018 Tuesday, September 08, 2015 Page 8 of 202
9 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: SENIOR CARE OF MARLANDWOOD WEST MARLANDWOOD WEST SCC LLC 1700 MARLANDWOOD RD 600 N PEARL ST SUITE 1100 TEMPLE TX Phone (254) Fax (254) TOTAL Lic Capacity: 104 TITLE 18: 11 PHONE: (214) FAX: (214) TITLE 18/19: 93 License Exp Dt: 01/01/2018 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: SENIOR CARE OF WESTERN HILLS WESTERN HILLS SCC LLC 512 DRAPER DR 600 PEARL ST SUITE 1100 TEMPLE TX Phone (254) Fax (254) TITLE 18: 7 PHONE: (214) FAX: (214) TITLE 18/19: 113 License Exp Dt: 01/01/2018 County BELL Reg Svcs: SOUTH AUSTIN Facility Information: Facility ID: SENIOR CARE OF WESTON INN WESTON INN SCC LLC 2505 S 37TH ST 600 N PEARL ST,STE 1100 TEMPLE TX Phone (254) Fax (254) TITLE 18: 1 PHONE: (214) FAX: (214) TITLE 18/19: 119 License Exp Dt: 01/01/2018 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: TEMPLE MERIDIAN S-H THIRTY-FIVE OPCO-TEMPLE MERIDIAN LLC 4312 S 31ST ST 6737 W WASHINGTON ST,STE 2300 TEMPLE TX MILWAUKEE WI Phone (254) Fax (254) TOTAL Lic Capacity: 60 TITLE 18: 54 PHONE: (414) FAX: (414) PROGRAM TYPE: NURSING SERVICE TYPE NF LICENSED ONLY TITLE 18/19: 6 License Exp Dt: 11/11/2015 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: WELLINGTON REHABILITATION AND HEALTHCARE WELLINGTON HEALTHCARE INC 1802 S 31ST 1802 S 31ST TEMPLE TX TEMPLE TX Phone (254) Fax (254) TOTAL Lic Capacity: 145 TITLE 18: 49 PHONE: (254) FAX: (254) TITLE 18/19: 96 License Exp Dt: 08/01/2018 County BELL Reg Svcs: TEMPLE Facility Information: Facility ID: WILLIAM R COURTNEY TEXAS STATE VETERANS HOME STATE OF TEXAS VETERANS LAND BOARD 1424 MARTIN LUTHER KING JR LN P O BOX TEMPLE TX AUSTIN TX Phone (254) Fax (254) TOTAL Lic Capacity: 160 TITLE 18: 20 PHONE: (512) FAX: (512) Cert Alzh Capacity: 32 TITLE 18/19: 140 License Exp Dt: 12/21/2017 Tuesday, September 08, 2015 Page 9 of 202
10 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: ROSEWOOD REHABILITATION AND CARE CENTER MCCULLOCH COUNTY HOSPITAL DISTRICT 7700 MESQUITE PASS 2008 NINE ROAD CONVERSE TX BRADY TX Phone (210) Fax (210) TOTAL Lic Capacity: 100 TITLE 18: 2 PHONE: (325) FAX: (325) TITLE 18/19: 98 License Exp Dt: 03/01/2016 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: ALAMO HEIGHTS HEALTH AND REHABILITATION CENTER ALAMO HEIGHTS HEALTH CARE LLC 8223 BROADWAY 8223 BROADWAY SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 237 TITLE 18: 38 PHONE: (210) FAX: (210) TITLE 18/19: 199 License Exp Dt: 11/01/2017 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: BLANCO VILLA NURSING AND REHABILITATION LP BLANCO VILLA NURSING AND REHABILITATION LP 8020 BLANCO RD 401 N ELM ST SAN ANTONIO TX DENTON TX Phone (210) Fax (210) TOTAL Lic Capacity: 143 TITLE 18: 49 PHONE: (940) FAX: (940) TITLE 18/19: 94 License Exp Dt: 08/01/2017 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: BROOKDALE ALAMO HEIGHTS S-H OPCO LINCOLN HEIGHTS LLC 855 E BASSE RD 6737 W WASHINGTON ST,STE 2300 SAN ANTONIO TX MILWAUKEE WI Phone (210) Fax (210) TOTAL Lic Capacity: 46 TITLE 18: 46 PHONE: (414) FAX: (414) PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 0 License Exp Dt: 08/29/2018 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: BROOKDALE PATRIOT HEIGHTS BLC-PATRIOT HEIGHTS LLC 5000 FAWN MEADOW 111 WESTWOOD PLACE,STE 400 SAN ANTONIO TX BRENTWOOD TN Phone (210) Fax (210) TOTAL Lic Capacity: 74 TITLE 18: 68 PHONE: (210) FAX: (210) TITLE 18/19: 6 License Exp Dt: 04/06/2017 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: BUENA VIDA NURSING AND REHAB-SAN ANTONIO PINNACLE HEALTH FACILITIES XXII LP 5027 PECAN GROVE 5420 W PLANO PKWY SAN ANTONIO TX PLANO TX Phone (210) Fax (210) TOTAL Lic Capacity: 222 TITLE 18: 60 PHONE: (972) FAX: (972) TITLE 18/19: 162 License Exp Dt: 11/01/2017 Tuesday, September 08, 2015 Page 10 of 202
11 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: CASA RIO HEALTHCARE AND REHABILITATION GRUENEPOINTE 1 CASA RIO LLC 6211 S NEW BRAUNFELS AVE 8502 HUEBNER RD,STE 400 SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 124 TITLE 18: 26 PHONE: (210) FAX: (210) TITLE 18/19: 98 License Exp Dt: 08/01/2016 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: CORONADO AT STONE OAK UVALDE COUNTY HOSPITAL AUTHORITY STONE OAK PARKWAY 1025 GARNER FIELD RD SAN ANTONIO TX UVALDE TX Phone (210) Fax (210) TOTAL Lic Capacity: 112 TITLE 18: 101 PHONE: (830) FAX: (830) TITLE 18/19: 11 License Exp Dt: 02/01/2016 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: GOLDEN ESTATES REHABILITATION CENTER GOLDEN REHABILITATION CENTER LLC 130 SPENCER LN 1630 LOCK HILL SELMA,STE 230 SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 93 TITLE 18: 17 PHONE: (210) FAX: (210) TITLE 18/19: 76 License Exp Dt: 06/01/2018 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: HEARTLAND HEALTH CARE CENTER - SAN ANTONIO HEARTLAND OF SAN ANTONIO TX LLC DBA HCR HEARTLAND OF SAN ANTONIO TX ONE HEARTLAND DR 333 N SUMMIT ST SAN ANTONIO TX TOLEDO OH Phone (210) Fax (210) TOTAL Lic Capacity: 162 TITLE 18: 75 PHONE: (419) FAX: (877) TITLE 18/19: 87 License Exp Dt: 04/07/2018 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: HEARTLAND HEALTH CARE CENTER - SAN ANTONIO NORTH MANOR CARE OF SAN ANTONIO (NORTH) TX LLC 7703 BRIARIDGE 333 N SUMMIT ST SAN ANTONIO TX TOLEDO OH Phone (210) Fax (210) TOTAL Lic Capacity: 106 TITLE 18: 74 PHONE: (419) FAX: (419) TITLE 18/19: 32 License Exp Dt: 04/07/2018 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: HIGHLAND NURSING CENTER SAN ANTONIO HEALTH SERVICE CORPORATION 5819 PECAN VALLEY DR 5819 PECAN VALLEY DR SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 59 PHONE: (210) FAX: (210) TITLE19: 59 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY TITLE 18/19: 0 License Exp Dt: 01/16/2017 Tuesday, September 08, 2015 Page 11 of 202
12 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: HUEBNER CREEK HEALTH & REHABILITATION CENTER BEXAR I ENTERPRISES LLC 8306 HUEBNER RD 1701 RIVER RUN SUITE 304 SAN ANTONIO TX FORT WORTH TX Phone (210) Fax (210) TOTAL Lic Capacity: 146 TITLE 18: 6 PHONE: (817) FAX: (817) TITLE 18/19: 140 License Exp Dt: 09/01/2017 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: INSPIRATION HILLS REHABILITATION CENTER THE WILLIAMSBURG CARE COMPANY LP 1939 BANDERA RD 105 N TRENTON ST SAN ANTONIO TX RUSTON LA Phone (210) Fax (210) TOTAL Lic Capacity: 134 TITLE 18: 23 PHONE: (318) FAX: (318) TITLE 18/19: 111 License Exp Dt: 04/15/2018 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: LAS COLINAS OF WESTOVER 9738 WESTOVER HILLS BOULEVARD OPERATIONS LLC 9738 WESTOVER HILLS BLVD 9738 WESTOVER HILLS BLVD SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 140 TITLE 18: 86 PHONE: (610) FAX: (610) TITLE 18/19: 54 License Exp Dt: 02/01/2016 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST SAN ANTONIO LEGEND OAKS - WEST SAN ANTONIO LLC 222 BERTETTI DR 1390 E BITTERS RD SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 124 TITLE 18: 25 PHONE: (210) FAX: (210) TITLE 18/19: 99 License Exp Dt: 05/31/2018 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - SAN ANTONIO LEGEND OAKS - SOUTH SAN ANTONIO LLC 2003 W HUTCHINS PLACE 1390 E BITTERS RD SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 126 TITLE 18: 6 PHONE: (210) FAX: (210) TITLE 18/19: 120 License Exp Dt: 11/12/2017 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: MCCULLOUGH HALL NURSING CENTER INC MCCULLOUGH HALL NURSING CENTER INC 603 S W 24TH ST 603 SW 24TH ST SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 51 PHONE: (210) FAX: (210) TITLE 18/19: 51 License Exp Dt: 03/03/2017 Tuesday, September 08, 2015 Page 12 of 202
13 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: MEMORIAL MEDICAL NURSING CENTER SSC SAN ANTONIO MEMORIAL OPERATING COMPANY LLC 307 W CYPRESS ST ONE RAVINIA DR,STE 1500 SAN ANTONIO TX ATLANTA GA Phone (210) Fax (210) TOTAL Lic Capacity: 135 PHONE: (770) FAX: (770) TITLE 18/19: 135 License Exp Dt: 10/11/2016 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: MERIDIAN CARE RJ MERIDIAN CARE OF SAN ANTONIO LTD 7181 CRESTWAY DR OAKHURST DR SAN ANTONIO TX SPRING TX Phone (210) Fax (210) PHONE: (281) FAX: (281) TITLE 18/19: 120 License Exp Dt: 04/01/2016 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: MERIDIAN CARE AT GRAYSON SQUARE RJ MERIDIAN CARE OF SAN ANTONIO III LLC 815 E GRAYSON ST OAKHURST DR SAN ANTONIO TX SPRING TX Phone (210) Fax (210) TOTAL Lic Capacity: 90 PHONE: (281) FAX: (281) TITLE 18/19: 90 License Exp Dt: 07/01/2016 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: MERIDIAN CARE MONTE VISTA RJ MERIDIAN CARE ALTA VISTA LLC 616 W RUSSELL PL OAKHURST DR SAN ANTONIO TX SPRING TX Phone (210) Fax (210) TOTAL Lic Capacity: 106 TITLE 18: 12 PHONE: (281) FAX: (281) TITLE 18/19: 94 License Exp Dt: 01/08/2018 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: MESA VISTA INN HEALTH CENTER PM MANAGEMENT-BABCOCK NC LLC 5756 N KNOLL DR 600 NORTH PEARL ST. STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 144 TITLE 18: 31 PHONE: (214) FAX: (214) TITLE 18/19: 113 License Exp Dt: 04/01/2018 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: MORNINGSIDE MANOR MORNINGSIDE MINISTRIES 602 BABCOCK RD 700 BABCOCK RD SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 190 TITLE 18: 71 PHONE: (210) FAX: (210) TITLE 18/19: 119 License Exp Dt: 08/01/2017 Tuesday, September 08, 2015 Page 13 of 202
14 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: MYSTIC PARK NURSING & REHAB CENTER MYSTIC PARK SCC LLC 8503 MYSTIC PARK 600 N PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 125 PHONE: (214) FAX: (214) TITLE 18/19: 125 License Exp Dt: 02/01/2016 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: NORMANDY TERRACE NURSING & REHABILITATION CENTER DIVERSICARE NORMANDY TERRACE LLC 841 RICE RD 1621 GALLERIA BLVD SAN ANTONIO TX BRENTWOOD TN Phone (210) Fax (210) TOTAL Lic Capacity: 320 TITLE 18: 59 PHONE: (615) FAX: (615) TITLE 18/19: 261 License Exp Dt: 08/11/2017 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: NORTHEAST REHABILITATION AND HEALTHCARE CENTER SALADO CREEK SENIOR CARE INC 603 CORINNE ST 603 CORRINE SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TITLE 18: 19 PHONE: (210) FAX: (210) TITLE 18/19: 101 License Exp Dt: 07/31/2017 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: NORTHGATE HEALTH AND REHABILITATION CENTER UVALDE COUNTY HOSPITAL AUTHORITY 5757 N KNOLL 1025 GARNER FIELD RD SAN ANTONIO TX UVALDE TX Phone (210) Fax (210) TITLE 18: 5 PHONE: (830) FAX: (830) TITLE 18/19: 115 License Exp Dt: 02/28/2016 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: OAK PARK NURSING AND REHABILITATION CENTER PINNACLE HEALTH FACILITIES XX LP 7302 OAK MANOR DR 5420 W PLANO PKWY SAN ANTONIO TX PLANO TX Phone (210) Fax (210) TOTAL Lic Capacity: 170 TITLE 18: 32 PHONE: (972) FAX: (972) TITLE 18/19: 138 License Exp Dt: 10/01/2016 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: PARAMOUNT SENIOR CARE CENTERS AT SAN ANTONIO PRESIDENTIAL SCC LLC 5437 EISENHAUER RD 600 NORTH PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 150 TITLE 18: 18 PHONE: (214) FAX: (214) TITLE 18/19: 132 License Exp Dt: 02/01/2016 Tuesday, September 08, 2015 Page 14 of 202
15 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: PARKLANE WEST HEALTHCARE CENTER ARC PARKLANE INC 2 TOWERS PARK LN 111 WESTWOOD PL,STE 400 SAN ANTONIO TX BRENTWOOD TN Phone (210) Fax (210) TOTAL Lic Capacity: 124 TITLE 18: 112 PHONE: (615) FAX: (615) PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 12 License Exp Dt: 07/25/2017 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: REGENT CARE AT MEDICAL CENTER REGENT CARE CENTER OF SAN ANTONIO III LIMITED PARTNERSHIP 3935 MEDICAL DR 2302 POST OFFICE ST,STE 402 SAN ANTONIO TX GALVESTON TX Phone (210) Fax (210) TOTAL Lic Capacity: 134 TITLE 18: 28 PHONE: (409) FAX: (512) TITLE 18/19: 106 License Exp Dt: 10/04/2015 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: REGENT CARE CENTER OAKWELL FARMS REGENT CARE CENTER OF SAN ANTONIO II LIMITED PARTNERSHIP 8501 LAURENS LN 2302 POSTOFFICE ST STE 402 SAN ANTONIO TX GALVESTON TX Phone (210) Fax (210) TOTAL Lic Capacity: 194 TITLE 18: 81 PHONE: (409) FAX: TITLE 18/19: 113 License Exp Dt: 06/01/2016 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: REGENT CARE CENTER OF SAN ANTONIO REGENT CARE CENTER OF SAN ANTONIO LIMITED PARTNERSHIP BLANCO RD 2302 POSTOFFICE ST,STE 402 SAN ANTONIO TX GALVESTON TX Phone (210) Fax (210) TOTAL Lic Capacity: 128 TITLE 18: 19 PHONE: (409) FAX: (409) TITLE 18/19: 109 License Exp Dt: 06/28/2017 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: REMINGTON MEDICAL RESORT SAN ANTONIO 5423 HAMILTON WOLFE ROAD OPERATIONS LLC 5423 HAMILTON WOLFE RD 211 E 7TH STREET SUITE 260 SAN ANTONIO TX AUSTIN TX Phone (210) Fax (866) TOTAL Lic Capacity: 60 TITLE 18: 60 PHONE: (610) FAX: (610) PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 0 License Exp Dt: 05/01/2016 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: RETAMA MANOR NURSING CENTER/SAN ANTONIO NORTH UVALDE COUNTY HOSPITAL AUTHORITY 501 OGDEN 1025 GARNER FIELD RD SAN ANTONIO TX UVALDE TX Phone (210) Fax (210) TOTAL Lic Capacity: 132 PHONE: (830) FAX: (830) TITLE 18/19: 132 License Exp Dt: 02/28/2016 Tuesday, September 08, 2015 Page 15 of 202
16 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: RETAMA MANOR NURSING CENTER/SAN ANTONIO WEST SSC SAN ANTONIO WEST OPERATING COMPANY LLC 636 CUPPLES RD 636 CUPPLES RD. SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 139 TITLE 18: 19 PHONE: (678) FAX: (770) TITLE 18/19: 120 License Exp Dt: 10/11/2016 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: RIVER CITY CARE CENTER GRUENEPOINTE 1 RIVER CITY, LLC 921 NOLAN ST 8502 HUEBNER ROAD, SUITE 400 SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 100 TITLE 18: 8 PHONE: (210) FAX: (210) TITLE 18/19: 92 License Exp Dt: 08/01/2016 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: SAINT FRANCIS NURSING HOME THE SERAPHIC SISTERS INC 630 W WOODLAWN AVE 630 W WOODLAWN AVE SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 143 PHONE: (210) FAX: (210) TITLE19: 143 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY TITLE 18/19: 0 License Exp Dt: 05/01/2016 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: SAN JOSE NURSING CENTER SAN ANTONIO HEALTH SERVICE CORPORATION 406 SHARMAIN PL 5819 PECAN VALLEY DR SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 70 PHONE: (210) FAX: (210) TITLE19: 70 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY TITLE 18/19: 0 License Exp Dt: 11/20/2016 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: SAN PEDRO MANOR SOUTHWEST LTC-SAN PEDRO LTD 515 W ASHBY PL 1518 LEGACY DRIVE,STE 110 SAN ANTONIO TX FRISCO TX Phone (210) Fax (210) TOTAL Lic Capacity: 150 TITLE 18: 12 PHONE: (469) FAX: (469) TITLE 18/19: 138 License Exp Dt: 07/01/2017 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: SCC AT HUNTERS POND REHABILITATION AND HEALTHCARE CENTER HUNTERS POND SCC LLC 9903 HUNTERS POND 600 N PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 128 TITLE 18: 38 PHONE: (214) FAX: (214) TITLE 18/19: 90 License Exp Dt: 10/25/2016 Tuesday, September 08, 2015 Page 16 of 202
17 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: SCC AT PECAN VALLEY REHABILITATION AND HEALTHCARE CENTER PECAN VALLEY SCC LLC 3838 E SOUTHCROSS BLVD 600 NORTH PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 124 TITLE 18: 34 PHONE: (214) FAX: (214) TITLE 18/19: 90 License Exp Dt: 07/01/2016 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: SCC AT WESTOVER HILLS REHABILITATION AND HEALTHCARE CENTER WESTOVER HILLS SCC LLC 9922 STATE HWY NORTH PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 124 TITLE 18: 34 PHONE: (214) FAX: (214) TITLE 18/19: 90 License Exp Dt: 10/25/2015 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: SENIOR CARE OF WINDCREST WINDCREST SCC LLC 8800 FOURWINDS DR 600 N PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 180 TITLE 18: 40 PHONE: (214) FAX: (214) TITLE 18/19: 140 License Exp Dt: 01/01/2018 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: SENIOR CARE OF WURZBACH WURZBACH SCC LLC 8300 WURZBACH RD 600 N PEARL ST,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 140 TITLE 18: 10 PHONE: (214) FAX: (214) TITLE 18/19: 130 License Exp Dt: 01/01/2018 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: SILVER CREEK MANOR SSC SAN ANTONIO SILVER CREEK OPERATING COMPANY LLC 9014 TIMBER PATH ONE RAVINIA DRIVE,STE 1500 SAN ANTONIO TX ATLANTA GA Phone (210) Fax (210) PHONE: (770) FAX: (770) TITLE 18/19: 120 License Exp Dt: 10/11/2016 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: SONTERRA HEALTH CENTER LEGEND OAKS - SONTERRA LLC SONTERRA PLACE SONTERRA PLACE SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 124 TITLE 18: 45 PHONE: (210) FAX: (210) TITLE 18/19: 79 License Exp Dt: 12/01/2017 Tuesday, September 08, 2015 Page 17 of 202
18 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: SORRENTO SORRENTO CONTINUING CARE CENTER LTD. CO 2739 BABCOCK 2537 GOLDEN BEAR DRIVE SAN ANTONIO TX CARROLLTON TX Phone Fax TOTAL Lic Capacity: 112 PHONE: FAX: TITLE19: 102 PRIVATE Beds: 10 TITLE 18/19: 0 License Exp Dt: 01/21/2016 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: SOUTHEAST NURSING & REHABILITATION CENTER SOUTHEAST SNF LLC 4302 E SOUTHCROSS BLVD 4302 E SOUTHCROSS BLVD SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 116 PHONE: (845) FAX: (845) TITLE 18/19: 116 License Exp Dt: 12/01/2017 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: STONE OAK CARE CENTER MADISON OAK MANAGEMENT INC 505 MADISON OAK DR 505 MADISON OAK DR SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 152 TITLE 18: 7 PHONE: (210) FAX: (210) TITLE 18/19: 145 License Exp Dt: 05/29/2018 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: STONEBROOK MANOR AT BROADWAY STONEBROOK MANOR SNF LLC 1841 FLAMINGO 1841 FLAMINGO ST SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 86 PHONE: (845) FAX: (845) TITLE 18/19: 86 License Exp Dt: 12/01/2017 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: SUNRISE NURSING AND REHABILITATION CENTER SUNRISE NURSING CARE CENTER LLC 50 BRIGGS ST 50 BRIGGS ST SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 119 PHONE: (773) FAX: (773) TITLE 18/19: 119 License Exp Dt: 09/16/2015 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER THE ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO INC 7400 CRESTWAY DR 7400 CRESTWAY DR SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 91 TITLE 18: 12 PHONE: (210) FAX: (210) PROGRAM TYPE: NURSING SERVICE TYPE SNF PRIVATE Beds: 79 TITLE 18/19: 0 License Exp Dt: 01/23/2017 Tuesday, September 08, 2015 Page 18 of 202
19 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: THE ATRIUM REHABILITATION CENTER THE FREDERICKSBURG CARE COMPANY LP 7602 LOUIS PASTEUR ST 105 N TRENTON ST SAN ANTONIO TX RUSTON LA Phone (210) Fax (210) TOTAL Lic Capacity: 87 TITLE 18: 32 PHONE: (318) FAX: (318) TITLE 18/19: 55 License Exp Dt: 04/15/2018 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: THE CHANDLER ESTATE IN LAUREL HEIGHTS MORNINGSIDE MINISTRIES 1502 HOWARD ST 700 BABCOCK RD SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 126 PHONE: (210) FAX: (210) TITLE 18/19: 126 License Exp Dt: 07/08/2016 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: THE FORUM AT LINCOLN HEIGHTS FIVE STAR LINCOLN HEIGHTS LLC 311 W NOTTINGHAM 311 W NOTTINGHAM SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 60 TITLE 18: 60 PHONE: (210) FAX: (210) PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 0 License Exp Dt: 02/01/2018 County BEXAR Reg Svcs: TEAM W Facility Information: Facility ID: THE HEIGHTS ON HUEBNER BEXAR COUNTY HOSPITAL DISTRICT HUEBNER RD 4502 MEDICAL DR,MS#65-1 SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TITLE 18: 41 PHONE: (210) FAX: (210) TITLE 18/19: 79 License Exp Dt: 02/28/2016 County BEXAR Reg Svcs: TEAM Z Facility Information: Facility ID: THE MISSION AT BLUE SKIES OF TEXAS EAST BST HEALTH SERVICES CORP 4949 RAVENSWOOD DR FREEDOM WAY SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 80 TITLE 18: 80 PHONE: (210) FAX: (210) PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 0 License Exp Dt: 11/01/2017 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: THE SARAH ROBERTS FRENCH HOME THE SARAH ROBERTS FRENCH HOME 1315 TEXAS AVE 1315 TEXAS AVE SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 60 PHONE: (210) FAX: (210) TITLE19: 60 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY TITLE 18/19: 0 License Exp Dt: 08/26/2017 Tuesday, September 08, 2015 Page 19 of 202
20 County BEXAR Reg Svcs: TEAM X Facility Information: Facility ID: THE VILLAGE AT INCARNATE WORD INCARNATE WORD RETIREMENT COMMUNITY INC 4707 BROADWAY 4707 BROADWAY SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 62 PHONE: (210) FAX: (210) PROGRAM TYPE: NURSING SERVICE TYPE NF LICENSED ONLY PRIVATE Beds: 62 TITLE 18/19: 0 License Exp Dt: 06/12/2016 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: THE VISTA AT BLUE SKIES OF TEXAS WEST BST HEALTH SERVICES CORP 5100 JOHN D RYAN BLVD FREEDOM WAY SAN ANTONIO TX SAN ANTONIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 64 TITLE 18: 64 PHONE: (210) FAX: (210) PROGRAM TYPE: NURSING SERVICE TYPE SNF TITLE 18/19: 0 License Exp Dt: 11/01/2017 County BEXAR Reg Svcs: TEAM V Facility Information: Facility ID: TRISUN CARE CENTER - LAKESIDE PM MANAGEMENT - SAN ANTONIO NC LLC 8707 LAKESIDE PARKWAY 600 NORTH PEARL STREET,STE 1100 SAN ANTONIO TX Phone (210) Fax (210) TITLE 18: 32 PHONE: (214) FAX: (214) PRIVATE Beds: 2 TITLE 18/19: 86 License Exp Dt: 04/01/2018 County BEXAR Reg Svcs: TEAM Y Facility Information: Facility ID: WINDSOR MISSION OAKS VAL VERDE COUNTY HOSPITAL DISTRICT 3030 S ROOSEVELT AVE 801 NORTH BEDELL AVE SAN ANTONIO TX DEL RIO TX Phone (210) Fax (210) TOTAL Lic Capacity: 150 TITLE 18: 2 PHONE: (830) FAX: (830) TITLE 18/19: 148 License Exp Dt: 01/01/2016 County BLANCO Reg Svcs: TEAM W Facility Information: Facility ID: LIVE OAK MEDICAL CENTER R L TOMS INC 618 LIVE OAK ST PO BOX 356 BLANCO TX BLANCO TX Phone (830) Fax (830) TOTAL Lic Capacity: 63 PHONE: (830) FAX: (830) TITLE19: 58 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY PRIVATE Beds: 5 TITLE 18/19: 0 License Exp Dt: 10/01/2015 County BLANCO Reg Svcs: TEAM Z Facility Information: Facility ID: LBJ MEDICAL CENTER R L TOMS INC 206 HALEY RD PO BOX 356 JOHNSON CITY TX BLANCO TX Phone (830) Fax (830) TOTAL Lic Capacity: 60 PHONE: (830) FAX: (830) TITLE19: 58 PROGRAM TYPE: NURSING SERVICE TYPE NF MEDICAID ONLY PRIVATE Beds: 2 TITLE 18/19: 0 License Exp Dt: 11/04/2016 Tuesday, September 08, 2015 Page 20 of 202
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