STATE OF TEXAS VETERANS LAND BOARD (NPI# 1588664866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588664866 |
| Entity Type | Organization |
| Organization Name | STATE OF TEXAS VETERANS LAND BOARD |
| Other Organization Name | WILLIAM R COURTNEY TEXAS STATE VETERANS HOME |
| Practice Address |
1424 Martin Luther King Jr Ln Temple TX 76504-5941 |
| Mailing Address |
1700 North Congress Avenue Rm. 810 Austin TX 78701-1496 |
| Practice Telephone | 2547918280 |
| Practice Fax Number | 2547910262 |
| Mailing Telephone | 5129366929 |
| Mailing Fax Number | 5124752294 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MR. JERRY E PATTERSON (CHAIRMAN TEXAS VETERANS LAND BOARD) |
| Authorized Official Telephone | 5124752336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 050746 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001003109 | 05 | |
| TX | 00101394 | 05 |
| Other Name | Type Code |
|---|---|
| William R Courtney Texas State Veterans Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831347 | State of Texas Veterans Land Board | Skilled Nursing Facility | 14041 Cottingham Road, Houston, TX 77048 | 2018-12-05 |
| 1326327636 | State of Texas Veterans Land Board | Nursing Facility/Intermediate Care Facility | 11466 Honor Lane, Tyler, TX 78701 | 2011-08-04 |
| 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 |
| 1942200720 | State of Texas Veterans Land Board | Skilled Nursing Facility | 200 Veterans Drive, Floresville, TX 78114-2709 | 2005-07-22 |
| Street Address |
1424 MARTIN LUTHER KING JR LN |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356823264 | Dawn Rae Brotherton | Physical Therapy Assistant | 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 | 2018-09-06 |
| 1609355262 | Taryn Rosow | Speech-Language Pathologist | 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 | 2018-08-14 |
| 1992284772 | Shelly Gilmore | Physical Therapy Assistant | 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 | 2018-08-12 |
| 1164901179 | Diane Edwards | Physical Therapist | 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 | 2018-08-09 |
| 1326568445 | Yonder Laurel Isgur | Occupational Therapist | 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 | 2017-06-20 |
| 1073664611 | Donna K Smetana | Psychologist | 1424 Martin Luther King Jr Ln, Temple, TX 76504-5941 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| 1639691603 | Scott & White Continuing Care Hospital | Skilled Nursing Facility | 546 N Kegley Rd Fl 2, Temple, TX 76502-4069 | 2017-07-12 |
| 1639560337 | Southwest Ltc Temple LLC | Skilled Nursing Facility | 100 West Green Ave, Temple, OK 73568 | 2015-02-17 |
| 1174678866 | Pm Management-temple Nc I LLC | Skilled Nursing Facility | 2505 S 37th St, Temple, TX 76504-7103 | 2007-01-24 |
| 1205996832 | Pm Management-temple Nc II LLC | Skilled Nursing Facility | 512 Draper Dr, Temple, TX 76504-2911 | 2006-12-12 |
| 1336209964 | Pm Management-temple Nc IIi LLC | Skilled Nursing Facility | 1700 Marlandwood Rd, Temple, TX 76502-2842 | 2006-12-12 |
| 1366502213 | Pm Management-temple Nc Iv LLC | Skilled Nursing Facility | 1511 Marlandwood Rd, Temple, TX 76502-3338 | 2006-12-11 |
| 1124038690 | Cornerstone Gardens L L P | Skilled Nursing Facility | 763 Marlandwood Rd, Temple, TX 76502-3573 | 2006-08-08 |
| 1346292638 | Slp Regency Manor LLC | Skilled Nursing Facility | 3011 W Adams Ave, Temple, TX 76504-2873 | 2006-05-16 |
| 1619969417 | Eastland Memorial Hospital District | Skilled Nursing Facility | 1802 S 31st St, Temple, TX 76504-6712 | 2005-08-17 |
| Find all providers in TEMPLE | ||||
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| 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.