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WILLIAMSBURG VILLAGE HEALTHCARE CAMPUS
NPI 1629062369
Skilled Nursing Facility in Desoto, TX

Active since September 08, 2005CLIA 45D1014624 · Waiver
1/5
Overall Rating
940 YORK DR, DESOTO, TX 75115(972) 572-6200(972) 572-9365 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Williamsburg Village Healthcare Campus NPPES

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

WILLIAMSBURG VILLAGE HEALTHCARE CAMPUS (NPI 1629062369) 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 July 10, 2027 and lists Frederick Cerise, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629062369
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDALLAS COUNTY HOSPITAL DISTRICT
Location Address940 YORK DRDesoto, TX 75115-2042
Mailing Address1500 Waters Ridge Dr, Suite 200Lewisville, TX 75057-6011 · (972) 899-4401 · Fax (972) 899-4460
Phone(972) 572-6200
Fax(972) 572-9365
Organization SubpartNo
Authorized OfficialFrederick CeriseCeo · (214) 590-8006
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJune 30, 2015
✔ NPI 1629062369 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 · 112098
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.
940 YORK DR, Desoto, TX 75115
Open in Google Maps ↗

Other Names 1

Doing Business AsWilliamsburg Village Healthcare Campus

Other Identifiers 4

Other164055901TX · Medicaid Co B
Medicare OSCAR/certification675756AZ
Medicaid001004882TX
Medicaid001026661TX

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 45D1014624

Williamsburg Village Heathcare Campus · Desoto, TX
Active · expires Jul 10, 2027
CLIA Number45D1014624
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorGibson Vernon
Laboratory Phone(972) 572-6200
Laboratory LocationWilliamsburg Village Heathcare Campus940 York Drive, 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 Duncanville Healthcare And Rehabilitation Center (CMS certification number 676178), from CMS Care Compare.

Duncanville Healthcare And Rehabilitation Center

Nursing home · Duncanville, TX
1/5 CMS Overall Rating
OwnershipGovernment - Hospital district
CMS Certification Number676178
Certified Beds124 beds85 residents per day on average
Medicare & Medicaid Participant SinceApril 25, 2008
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
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.
2/5
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.
348.33
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 2.25 · LPN 0.81 · RN 0.39
3.45 hrs per resident per day
Weekend Nurse Staffing
2.88 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
69.5%
Registered Nurse Turnover
57.1%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
5
Substantiated Complaints
57
Infection-Control Citations
12
Fines
8 totaling $125,912.00
Medicare Payment Denials
1
Total Penalties
9
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 13

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

EKE EGBUTA CHUKWU
Occupational Therapy Assistant
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 331-4554
PALOMA VELA COTA
Occupational Therapy Assistant
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 572-6200
BIJU JACOB COTA
Occupational Therapy Assistant
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 572-6200
NANCY WILSON OTR
Occupational Therapist
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 331-4554
PAMELA FOTO
Occupational Therapy Assistant
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 331-4554
BRITTNEY MICHELLE MATHIAS MS CCC-SLP
Speech-Language Pathologist
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 331-4505
MRS. ELVIE KELLY WASHINGTON PTA
Physical Therapy Assistant
940 YORK DR
DESOTO, TX 75115
Dallas County (972) 331-4554
NICOLE BROWN NP
Nurse Practitioner (Family)
940 YORK DR
DESOTO, TX 75115
Dallas County (817) 592-3878

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 Dallas County Hospital District's NPI number?

The NPI number for Dallas County Hospital District is 1629062369. It was assigned to this organization in the NPPES registry on September 8, 2005. The provider is doing business as Williamsburg Village Healthcare Campus.

Where is Dallas County Hospital District located?

Dallas County Hospital District is located at 940 York Dr, Desoto, TX 75115. The listed phone number is (972) 572-6200.

What is Dallas County Hospital District's specialty?

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

Does Dallas County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1014624) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dallas County Hospital District a Medicare-certified nursing home?

Yes. Duncanville Healthcare And Rehabilitation Center is a Medicare-certified nursing home with 124 certified beds.

What quality rating does Dallas County Hospital District have?

CMS rates Duncanville Healthcare And Rehabilitation Center 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 Dallas County Hospital District accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Dallas County 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 Dallas County Hospital District was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.