# CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Village Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124087663
- **Authorized official:** MR. ROBERT PASCASIO (CEO)
- **Authorized official phone:** (409) 267-3143

## Contact information

- **Practice address:** 721 W MULBERRY, ANGLETON, TX 77515-4239
- **Practice address phone:** (979) 849-8281
- **Practice address fax:** (979) 849-0249
- **Mailing address:** 721 W MULBERRY ST, ANGLETON, TX 77515-4239
- **Mailing address phone:** (979) 849-8281
- **Mailing address fax:** (979) 849-0249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 115157 | TX | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 04/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 021482702 | MEDICAID | TX |