STATE OF TEXAS VETERANS LAND BOARD


Address: 11466 Honor Lane, Tyler, TX 78701
Phone: 5124632890

STATE OF TEXAS VETERANS LAND BOARD (NPI# 1326327636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326327636
Entity Type Organization
Organization Name STATE OF TEXAS VETERANS LAND BOARD
Other Organization Name WATKINS-LOGAN-GARRISON TEXAS STATE VETERANS HOME
Practice Address 11466 Honor Lane
Tyler
TX 78701
Practice Telephone 5124632890
Practice Fax Number 5124632118
Mailing Telephone 5124632890
Mailing Fax Number 5124632118
Enumeration Date 2011-08-04
Last Update Date 2011-11-03
Authorized Official Name MR. JERRY E PATTERSON (CHAIRMAN)
Authorized Official Telephone 5124635256
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility TX Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Watkins-Logan-Garrison Texas State Veterans Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558831347 State of Texas Veterans Land Board Skilled Nursing Facility 14041 Cottingham Road, Houston, TX 77048 2018-12-05
1467678615 State of Texas Veterans Land Board Skilled Nursing Facility 1020 Tascosa Road, Amarillo, TX 79124-1504 2007-04-17
1659342160 State of Texas Veterans Land Board Skilled Nursing Facility 9650 Kenworthy St, El Paso, TX 79924-6011 2006-02-01
1164493805 State of Texas Veterans Land Board Skilled Nursing Facility 301 East Yuma Avenue, Mcallen, TX 78503-1388 2006-01-31
1447250725 State of Texas Veterans Land Board Skilled Nursing Facility 1809 N Highway 87, Big Spring, TX 79720-0793 2005-07-28
1982604252 State of Texas Veterans Land Board Skilled Nursing Facility 1300 Seven Oaks Rd, Bonham, TX 75418-3254 2005-07-28
1588664866 State of Texas Veterans Land Board Skilled Nursing Facility 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 2005-07-28
1942200720 State of Texas Veterans Land Board Skilled Nursing Facility 200 Veterans Drive, Floresville, TX 78114-2709 2005-07-22

Office Location

Street Address 11466 HONOR LANE
City TYLER
State TX
Zip Code 78701

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501820 Megan Elise Gittins Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 2020-06-04
1306467956 Jason Russell Paxman Internal Medicine Dell Seton Medical Center 1500 Red River, Austin, TX 78701 2020-05-05
1992326078 Sarah N Ibanez Shaw Emergency Medicine Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 2020-04-30
1215558689 Margaret Marie Coates Student in an Organized Health Care Education/Training Program 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 2020-04-27
1740817956 Woody Starcloud Green Emergency Medicine Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 2020-03-26
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1114575792 Shyneice Lasha Gaddis Behavior Technician 100 Congress Ave Suite 2000, Austin, TX 78701 2019-08-28
1245887355 Jonathan Thomas Mason Family Medicine 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 2019-08-22
1538726195 Zahra Virginia Cain-akbar Student in an Organized Health Care Education/Training Program Ut Dell Medical, 1500 Red River St, Austin, TX 78701 2019-05-20
1457918021 Sara Lugonjic Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 2019-05-20
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184954828 Park Place Tyler Hc, LLC Nursing Facility/Intermediate Care Facility 2450 E 5th St, Tyler, TX 75701-3525 2009-12-31
1457681199 Melrose Hcc, LLC Nursing Facility/Intermediate Care Facility 1501 W 29th St, Tyler, TX 75702-1404 2009-12-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922660471 Castro County Hospital District Nursing Facility/Intermediate Care Facility 701 Butler Blvd, Dimmitt, TX 79027-2720 2019-07-05
1023674520 Eunice Nadine Hall Nursing Facility/Intermediate Care Facility 110 W. Troupe St, Mabank, TX 75147-8651 2019-05-10
1467945626 Regency Ihs of Windsor Mission Oaks LLC Nursing Facility/Intermediate Care Facility 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 2018-06-12
1508363086 Solomon Ishaq Nursing Facility/Intermediate Care Facility 1818 Arundel Dr, Carrollton, TX 75007-3012 2018-04-10
1740798651 Mission Valley Nursing and Transitional Care LLC Nursing Facility/Intermediate Care Facility 1200 S Bryan Rd, Mission, TX 78572-6840 2018-01-12
1841738580 Su Casa Adult Foster Home Nursing Facility/Intermediate Care Facility 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 2017-02-02
1225402753 West Wharton County Hospital District Nursing Facility/Intermediate Care Facility 248 Wisteria Ln, El Campo, TX 77437-2545 2015-11-20
1447635040 Sarah Padlan I Nursing Facility/Intermediate Care Facility 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 2015-07-23
1902289358 Fnu Anushree Nursing Facility/Intermediate Care Facility 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 2015-07-02
1699154278 Royal Manor Care Center, Inc. Nursing Facility/Intermediate Care Facility 4545 S Buckner Blvd, Dallas, TX 75227-4207 2015-05-28
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Competitor

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City TYLER
Zip Code 78701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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