Labranjor Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118358 Issued in TX

Legal business name

LABRANJOR HEALTH CARE LLC

Doing business as

Lytle Nursing Home

Practice address

15366 Oak Street
Lytle, TX 78052-0486

Phone

(830) 772-3557

Fax

(830) 772-4810

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Burl McCaskill

Title

Owner/President

Phone

(940) 704-8630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lytle Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699932889. Details of each certification follow.

• CCN 675295 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675295

Legal name

LABRANJOR HEALTH CARE LLC

Doing business as

LYTLE NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 17, 1994

Last certification

May 27, 2024

Beds

70

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Apr 16, 2008 in TX

Enrollment address

15366 Oak Street
Lytle Nursing Home
Lytle, TX 78052-0486

Nursing home name

LYTLE NURSING HOME

Listed as

Lytle Nursing HomeCCN 675295 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 17, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7045.2 residents per day on average

Penalties (3 years)

2Fines totaling $55,904

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Labranjor Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lytle Nursing Home

  • Skilled Nursing Facility
  • Lytle, TX
  • NPI 1538282538
  NPD tax ID

All disclosed owners & managing parties 2

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

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.

• Mehmood Hassan Khan, M.D.

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1841457223
  NPD (past)
• Matthew John Windrow, M.D.

  • Family Medicine Physician
  • Hondo, TX
  • NPI 1487673935
  NPD (past)
• Benjamin Scott Zertuche, M.D.

  • Family Medicine Physician
  • Pleasanton, TX
  • NPI 1992788087
  NPD (past)

Affiliated clinicians 1

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

• Matthew John Windrow, M.D.

  • Family Medicine Physician
  • Hondo, TX
  • NPI 1487673935

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1699932889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 MARTIN BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081249",
            "telephone_number": "940-704-8630",
            "fax_number": "940-228-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 OAK STREET",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520486",
            "telephone_number": "830-772-3557",
            "fax_number": "830-772-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABRANJOR HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BURL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "940-704-8630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "67-5295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lytle Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia R Jarzombek, EIS
• Margo Jimenez
• Kendall Nicole Escobar
• Kindstar, Inc.
• Ashwin Sam Koshy, DO
• Angela G Lamanna, OT
• Linda V. Lane, LPC
• Tracie Lawler, PHARMD
• Keisha Lawson
• Maria Del Carmen Leal, EIS

• Skilled Nursing Facility in Lytle, TX
• Providers in Lytle, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.