Organization Active NPI

County of la Salle

Doing business as Avir at Cotulla

  • Skilled Nursing Facility
  • Cotulla, TX
National Provider Identifier
1154648459
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COUNTY OF LA SALLE
Doing business as
Avir at Cotulla
Las Palmas
Practice address
369 Mars Drive
Cotulla, TX 78014
Phone
(830) 879-4430
NPI assigned
Apr 26, 2010
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leodoro Martinez III
Title
County Judge
Phone
(830) 879-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

369 Mars Drive
Cotulla, TX 78014

Mailing address

369 Mars Dr
Cotulla, TX 78014-3146
Phone (830) 879-4430

Other names 2

  • Avir at Cotulla Doing business as
  • Las Palmas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000864 TX Part A Provider - Skilled Nursing Facility 3173710167 Practice locations: Cotulla, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154648459. Details of each certification follow.

Skilled nursing facility certification: CCN 676288

Legal name
COUNTY OF LA SALLE
Doing business as
AVIR AT COTULLA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 28, 2011
Last certification
Oct 24, 2024
Beds
60
Ownership / control type
Corporation
Organization structure
GovernmentNon-profit
Enrollment address
369 Mars Dr
Cotulla, TX 78014-3146
Nursing home name
AVIR AT COTULLA
Affiliated entity
AVIR HEALTH GROUP

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avir at CotullaCCN 676288 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 28, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6051.5 residents per day on average
Chain
Avir Health Group116 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2020302Avir at Cotulla369 Mars Dr, Cotulla, TX 78014Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
La Salle Co Elderly Nutriition Program4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of la Salle Organization, Cotulla, TX 5% Or Greater Direct Ownership Interest Dec 1, 2022 100%
5% Or Greater Mortgage Interest Dec 1, 2022 100%
Adp of the SNF Dec 1, 2022
Nochum Freund Individual Operational/Managerial Control Oct 1, 2025
369 Mars Dr Opco, LLC Organization, Jackson, NJ LLC Operational/Managerial Control Oct 1, 2025
Adp of the SNF Feb 3, 2026
Aaron Travitsky Individual Operational/Managerial Control Oct 1, 2025
369 Mars Dr Porperty Owner, LLC Organization, Toledo, OH LLC Adp of the SNF Oct 1, 2025
Kristian Canales Individual Operational/Managerial Control Jan 2, 2024
Adp of the SNF Jan 2, 2024
John G. Preddy Individual Adp of the SNF Dec 1, 2022
Leodoro Martinez Individual Corporate OfficerCounty Judge Jan 1, 2023
Managing Control - Governing BodyCounty Judge Jan 1, 2023
Welltower NNN Group, LLC Organization, Toledo, OH LLC Adp of the SNF Oct 1, 2025
Welltower Op, LLC Organization, Toledo, OH LLC Adp of the SNF Oct 1, 2025
Welltower Inc Organization, Toledo, OH Real estate investment trust (REIT) Adp of the SNF Oct 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1154648459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MARS DR",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780143146",
            "telephone_number": "830-879-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MARS DRIVE",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "78014",
            "telephone_number": "830-879-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LA SALLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LEODORO",
        "authorized_official_title_or_position": "COUNTY JUDGE",
        "authorized_official_telephone_number": "830-879-4430",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Cotulla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Palmas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cotulla, TX

Sources for this page

Verify at the official NPI Registry.