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STATE OF TEXAS VETERANS LAND BOARD NPI 1982604252


NPI Information

NPI: 1982604252
Provider Name: STATE OF TEXAS VETERANS LAND BOARD

Doing Business As: CLYDE W COSPER TEXAS STATE VETERANS HOME

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 45D0998628

Address:
1300 SEVEN OAKS RD
BONHAM, TX
ZIP 75418
Phone: (903) 640-8387
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STATE OF TEXAS VETERANS LAND BOARD is a skilled nursing facility in Bonham, TX. The provider is (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. STATE OF TEXAS VETERANS LAND BOARD NPI is 1982604252. The provider is registered as an organization entity type.
The provider Is Doing Business As Clyde W Cosper Texas State Veterans Home.

The provider's business location address is:

1300 SEVEN OAKS RD
BONHAM, TX
ZIP 75418-254
Phone: (903) 640-8387
Fax: (903) 640-4281

The provider's authorized official is Jerry E Patterson .
The authorized official title is Chairman Texas Veterans Land Board and has the following contact phone number (512) 475-2336.

The CLIA number assigned to this NPI record is 45D0998628 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 6/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility100534No
2314000000XSkilled Nursing Facility67-5857TEXASNo
3314000000XSkilled Nursing Facility100534TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001003135MEDICAIDTEXAS
267-5873MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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