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TENNESSEE STATE VETERANS HOME BOARD
NPI 1093708943
Skilled Nursing Facility in Humboldt, TN

Active since August 25, 2005CLIA Certified · 2 labs
4/5
Overall Rating
2865 E MAIN ST, HUMBOLDT, TN 38343(731) 784-8405(731) 784-2448 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tennessee State Veterans Home Board NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TENNESSEE STATE VETERANS HOME BOARD (NPI 1093708943) is a healthcare organization registered as a skilled nursing facility in Humboldt, Tennessee and active in the NPI registry since August 2005. The organization holds 2 active CLIA laboratory certificates and lists Mary Ross, Chairman, as its authorized official.

NPPES Registry Identity

NPI1093708943
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTENNESSEE STATE VETERANS HOME BOARD
Location Address2865 E MAIN STHumboldt, TN 38343-3070
Mailing AddressP.o. Box 11328Murfreesboro, TN 37129 · (615) 225-1816 · Fax (615) 898-1181
Phone(731) 784-8405
Fax(731) 784-2448
Organization SubpartNo
Authorized OfficialMary RossChairman · (615) 225-1816
Enumeration DateAugust 25, 2005
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1093708943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in TN · 0000000346
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 0000000346 (TN)
2865 E MAIN ST, Humboldt, TN 38343
Open in Google Maps ↗

Other Identifiers 3

Other3030638TN · Bluecross Blueshield
Medicaid7440578TN
Medicaid0445366TN

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0911187

Tennessee State Veterans Home · Humboldt, TN
Active · expires Jan 28, 2028
CLIA Number44D0911187
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJean Lessly
Laboratory Phone(731) 784-8405
Laboratory LocationTennessee State Veterans Home2865 Main Street, Humboldt, TN 38343
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2283857

Tennessee State Veterans Homes-Cleveland · Cleveland, TN
Active · expires Jun 13, 2027
CLIA Number44D2283857
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorSandra Wyatt
Laboratory Phone(615) 225-1816
Laboratory LocationTennessee State Veterans Homes-Cleveland1940 Westland Dr SW, Cleveland, TN 37311
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for W D Bill Manning Tennessee State Veterans Home (CMS certification number 445366), from CMS Care Compare.

W D Bill Manning Tennessee State Veterans Home

Nursing home · Humboldt, TN
4/5 CMS Overall Rating
OwnershipGovernment - State
CMS Certification Number445366
Certified Beds140 beds116 residents per day on average
Medicare & Medicaid Participant SinceFebruary 15, 1996
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
16
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.68 · LPN 1.56 · RN 0.46
4.69 hrs per resident per day
Weekend Nurse Staffing
3.91 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
32.8%
Registered Nurse Turnover
40%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACKARY AUSTIN
Physical Therapy Assistant
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-8405
JUSTIN PERRY
Physical Therapy Assistant
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-8405
NATALIE HOLLIS
Nurse's Aide
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-8405
CARLYE J MARTIN COTA
Occupational Therapy Assistant
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-8405
MRS. KATHERINE ELIZABETH JAMES FNP-C
Nurse Practitioner (Family)
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 814-5827
JESSICA TORRES
Physical Therapy Assistant
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-8405
MARY ELIZABETH VIA SLP
Speech-Language Pathologist
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-5817
MICHAEL BLAINE POTTS
Physical Therapist
2865 E MAIN ST
HUMBOLDT, TN 38343
Gibson County (731) 784-8405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tennessee State Veterans Home Board's NPI number?

The NPI number for Tennessee State Veterans Home Board is 1093708943. It was assigned to this organization in the NPPES registry on August 25, 2005.

Where is Tennessee State Veterans Home Board located?

Tennessee State Veterans Home Board is located at 2865 E Main St, Humboldt, TN 38343. The listed phone number is (731) 784-8405.

What is Tennessee State Veterans Home Board's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Tennessee State Veterans Home Board hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Tennessee State Veterans Home Board a Medicare-certified nursing home?

Yes. W D Bill Manning Tennessee State Veterans Home is a Medicare-certified nursing home with 140 certified beds.

What quality rating does Tennessee State Veterans Home Board have?

CMS rates W D Bill Manning Tennessee State Veterans Home 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Tennessee State Veterans Home Board was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.