NPIMap

Organization Active NPI

State of Texas Veterans Land Board

  • Nursing Facility/Intermediate Care Facility
  • Tyler, TX
National Provider Identifier
1326327636
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
STATE OF TEXAS VETERANS LAND BOARD
Practice address
11466 Honor Lane
Tyler, TX 78701
Phone
(512) 463-2890
Fax
(512) 463-2118
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mr. Jerry E Patterson
Title
Chairman
Phone
(512) 463-5256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X TX Primary

Addresses

Primary practice location

11466 Honor Lane
Tyler, TX 78701

Mailing address

11466 Honor Lane
Tyler, TX 78701
Phone (512) 463-2890

Other names 1

  • Watkins-Logan-Garrison Texas State Veterans Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110915000705 TX Part A Provider - Skilled Nursing Facility 0345158754 Practice locations: Tyler, TX

Skilled nursing facility certification: CCN 676311

Legal name
STATE OF TEXAS VETERANS LAND BOARD
Doing business as
WATKINS-LOGAN-GARRISON TEXAS STATE VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 27, 2012
Last certification
May 15, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
State of Texas Veterans Land Board
Organization structure
OtherNon-profit
Enrollment address
11466 Honor Lane
Watkins-Logan Texas State Veterans Home
Tyler, TX 75708-3296
Nursing home name
WATKINS-LOGAN-GARRISON TEXAS STATE VETERAN'S HOME
Affiliated entity
TEXVET

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Watkins-Logan-Garrison Texas State Veteran'S HomeCCN 676311
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 27, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10094.9 residents per day on average
Chain
Texvet9 facilities in the chain
Penalties (3 years)
2Fines totaling $214,759

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
45D2035075Watkins-Logan Texas State Veterans Home11466 Honor LN, Tyler, TX 75708Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
State of Texas Veterans Land Board10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

11466 Honor Ln
Tyler, TX 75708
Phone (903) 617-6150

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Janice McCrary Individual Operational/Managerial ControlFirst VP Jul 1, 2016 33.5%
Texas Vsi, LLC Organization, Anderson, SC Management services company, For-profit Operational/Managerial Control Jul 1, 2016
William S Biggs Individual Operational/Managerial ControlPresident Jul 1, 2016 33%
Matthew Warner Elledge Individual Corporate OfficerExec Secretary May 1, 2016
Michael McBride Individual Operational/Managerial ControlCeo Jul 1, 2016 33.5%
John Berkely Individual W-2 Managing Employee May 1, 2016

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1326327636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11466 HONOR LANE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-463-2890",
            "fax_number": "512-463-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11466 HONOR LANE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-463-2890",
            "fax_number": "512-463-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TEXAS VETERANS LAND BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "512-463-5256",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watkins-Logan-Garrison Texas State Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.