# GUADALUPE COUNTY HOSPITAL BOARD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Avir at Luling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811122534
- **Authorized official:** KODY GANN (CEO)
- **Authorized official phone:** (830) 401-7720

## Contact information

- **Practice address:** 501 W AUSTIN ST, LULING, TX 78648-1741
- **Practice address phone:** (830) 875-5628
- **Practice address fax:** (830) 875-5302
- **Mailing address:** 501 W AUSTIN ST, LULING, TX 78648-1741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 130255 | TX | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 03/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017227 | — | TX |
| 01 | — | 004177 | FACILITY ID | TX |