NPIMap

Organization Active NPI

State of Texas Veterans Land Board

  • Skilled Nursing Facility
  • Bonham, TX
National Provider Identifier
1982604252
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100534 Issued in TX
Legal business name
STATE OF TEXAS VETERANS LAND BOARD
Practice address
1300 Seven Oaks Rd
Bonham, TX 75418-3254
Phone
(903) 640-8387
Fax
(903) 640-4281
NPI assigned
Jul 28, 2005
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100534
Skilled Nursing Facility 314000000X 100534 TX Primary
Skilled Nursing Facility 314000000X 67-5857 TX

Addresses

Primary practice location

1300 Seven Oaks Rd
Bonham, TX 75418-3254

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
001003135MedicaidTX

Other names 1

  • Clyde W Cosper 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
O20100521000341 TX Part A Provider - Skilled Nursing Facility 0345158754 Practice locations: Bonham, TX

Skilled nursing facility certification: CCN 675873

Legal name
STATE OF TEXAS VETERANS LAND BOARD
Doing business as
CLYDE W. COSPER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 24, 2001
Last certification
Feb 7, 2025
Beds
160
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
1300 Seven Oaks Rd
Bonham, TX 75418-3254
Nursing home name
CLYDE W COSPER 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
Clyde W Cosper Texas State Veterans HomeCCN 675873
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
May 24, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160155.4 residents per day on average
Chain
Texvet9 facilities in the chain
Penalties (3 years)
3Fines totaling $216,749

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
45D0998628Clyde W Cosper Texas State Veterans1300 Seven Oaks Road, Bonham, TX 75418Certificate of waiverApr 18, 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.

Ownership & related parties

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.

NameRoleSinceShare
William McLemore Individual Corporate OfficerExecutive Secretary Dec 16, 2014
W-2 Managing EmployeeDeputy Director of the Texas Sta Oct 16, 2014
Operational/Managerial Control Dec 5, 2014
John Berkely Individual Corporate OfficerExecutive Secretary Feb 23, 2015
W-2 Managing Employee Dec 1, 2015
Operational/Managerial Control Jun 1, 2004

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1982604252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTH CONGRESS AVENUE",
            "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": "1300 SEVEN OAKS RD",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754183254",
            "telephone_number": "903-640-8387",
            "fax_number": "903-640-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TEXAS VETERANS LAND BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "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": null,
            "license": "100534",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "100534",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "67-5857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clyde W Cosper Texas State Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonham, TX

Sources for this page

Verify at the official NPI Registry.