NPIMap

Organization Active NPI

State of Texas Veterans Land Board

  • Skilled Nursing Facility
  • El Paso, TX
National Provider Identifier
1659342160
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
102314 Issued in TX
Legal business name
STATE OF TEXAS VETERANS LAND BOARD
Practice address
9650 Kenworthy St
El Paso, TX 79924-6011
Phone
(915) 751-0967
Fax
(915) 751-0980
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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 Texas Veterans Land Board
Phone
(512) 475-2336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 102314 TX Primary

Addresses

Primary practice location

9650 Kenworthy St
El Paso, TX 79924-6011

Mailing address

1700 Congress Ave
RM 810
Austin, TX 78701-1496
Phone (512) 936-6929

Other identifiers 2

IdentifierTypeStateIssuer
136090702OtherTXTPI
001013393MedicaidTX

Other names 1

  • Ambrosio Guillen 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
O20050615000845 TX Part A Provider - Skilled Nursing Facility 0345158754 Practice locations: El Paso, TX

Skilled nursing facility certification: CCN 676060

Legal name
STATE OF TEXAS VETERANS LAND BOARD
Doing business as
AMBROSIO GUILLEN TEXAS STATE VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 3, 2005
Last certification
Jan 31, 2025
Beds
160
Ownership / control type
Corporation
Multi-facility organization
Texas Veterans Landboard
Organization structure
OtherNon-profit
Enrollment address
9650 Kenworthy St
El Paso, TX 79924-6011
Nursing home name
AMBROSIO GUILLEN TEXAS STATE VETERANS 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
Ambrosio Guillen Texas State Veterans HomeCCN 676060
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 3, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160151.6 residents per day on average
Chain
Texvet9 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
45D1041011Ambrosio Guillen Texas State Veterans9650 Kenworthy Street, El Paso, TX 79924Certificate of waiverMay 22, 2027

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.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Touchstone Veterans Management, LTD Organization, San Antonio, TX For-profit Operational/Managerial Control Dec 5, 2014
Care Inns of Texas-Temple LTD Organization, San Antonio, TX Management services company Operational/Managerial Control Mar 1, 2018 100%
Janice McCrary Individual Operational/Managerial ControlFirst VP Mar 1, 2018 33.5%
Texas Vsi, LLC Organization, Anderson, SC Management services company Operational/Managerial Control Mar 1, 2018 100%
William S Biggs Individual Operational/Managerial ControlPresident Mar 1, 2018 33%
Matthew Warner Elledge Individual W-2 Managing EmployeeExecutive Secretary Dec 31, 2017
William McLemore Individual Corporate OfficerExecutive Secretary Dec 16, 2014
W-2 Managing Employee Oct 16, 2014
Operational/Managerial Control Dec 5, 2014
Michael McBride Individual Operational/Managerial ControlCeo Mar 1, 2018 33.5%
John Berkely Individual W-2 Managing Employee Mar 1, 2018

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1659342160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CONGRESS AVE",
            "address_2": "RM 810",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011496",
            "telephone_number": "512-936-6929",
            "fax_number": "512-475-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246011",
            "telephone_number": "915-751-0967",
            "fax_number": "915-751-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TEXAS VETERANS LAND BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIRMAN TEXAS VETERANS LAND BOARD",
        "authorized_official_telephone_number": "512-475-2336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "102314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "136090702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013393",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambrosio Guillen Texas State Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.