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PARK VILLAGE HEALTHCARE AND REHABILITATION
NPI 1225022908
Skilled Nursing Facility in Desoto, TX

Active since September 08, 2005CLIA 45D0700320 · Waiver
1/5
Overall Rating
207 E PARKERVILLE RD, DESOTO, TX 75115(972) 230-1000(972) 230-5509 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2021, Jan 18, 2017, Sep 15, 2016 and 1 more (4 updates tracked since 2016).

About Park Village Healthcare And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK VILLAGE HEALTHCARE AND REHABILITATION (NPI 1225022908) is a healthcare organization registered as a skilled nursing facility in Desoto, Texas and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1225022908
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSTEPHENS MEMORIAL HOSPITAL DISTRICT
Location Address207 E PARKERVILLE RDDesoto, TX 75115-6251
Mailing Address207 E Parkerville RdDesoto, TX 75115-6251 · (972) 230-1000 · Fax (972) 230-5509
Phone(972) 230-1000
Fax(972) 230-5509
Organization SubpartNo
Authorized OfficialSoon BurnamAuthorized Agent · (949) 540-1249
Enumeration DateSeptember 8, 2005
Last NPPES UpdateOctober 11, 20214 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1225022908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in TX · 111200
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
207 E PARKERVILLE RD, Desoto, TX 75115
Open in Google Maps ↗

Other Names 1

Doing Business AsPark Village Healthcare And Rehabilitation

Other Identifiers 1

Medicaid5257TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0700320

Park Village Healhtcare & Rehabilitation · Desoto, TX
Active · expires Aug 31, 2026
CLIA Number45D0700320
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDeandre A. Brown
Laboratory Phone(972) 230-1000
Laboratory LocationPark Village Healhtcare & Rehabilitation207 E Parkerville Road, Desoto, TX 75115
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Park Village Healthcare And Rehabilitation (CMS certification number 455727), from CMS Care Compare.

Park Village Healthcare And Rehabilitation

Nursing home · Desoto, TX
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number455727
Certified Beds150 beds77 residents per day on average
Medicare & Medicaid Participant SinceNovember 12, 1987
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
180.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.76 · LPN 1.09 · RN 0.17
3.02 hrs per resident per day
Weekend Nurse Staffing
2.82 hrs per resident per day
Physical Therapist Staffing
0.15 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
68.1%
Registered Nurse Turnover
77.8%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
15
Infection-Control Citations
4
Fines
4 totaling $118,153.75
Medicare Payment Denials
2
Total Penalties
6
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHWEST LTC PARK MANOR II LTD
Skilled Nursing Facility
207 E PARKERVILLE RD
DESOTO, TX 75115
Dallas County (972) 230-1000
THORNTREE HEALTHCARE, INC.
Skilled Nursing Facility
207 E PARKERVILLE RD
DESOTO, TX 75115
Dallas County (972) 230-1000
HIGH BALDY PLLC
Family Medicine
207 E PARKERVILLE RD
DESOTO, TX 75115
Dallas County (385) 454-5027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephens Memorial Hospital District's NPI number?

The NPI number for Stephens Memorial Hospital District is 1225022908. It was assigned to this organization in the NPPES registry on September 8, 2005. The provider is doing business as Park Village Healthcare And Rehabilitation.

Where is Stephens Memorial Hospital District located?

Stephens Memorial Hospital District is located at 207 E Parkerville Rd, Desoto, TX 75115. The listed phone number is (972) 230-1000.

What is Stephens Memorial Hospital District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Stephens Memorial Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0700320) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Stephens Memorial Hospital District a Medicare-certified nursing home?

Yes. Park Village Healthcare And Rehabilitation is a Medicare-certified nursing home with 150 certified beds.

What quality rating does Stephens Memorial Hospital District have?

CMS rates Park Village Healthcare And Rehabilitation 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Stephens Memorial Hospital District accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Stephens Memorial Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephens Memorial Hospital District was last updated on October 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.