Active NPI
Live Oak Management, L.P.
- Assisted Living Facility
- Decatur, TX
National Provider Identifier
1013274794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 132992
- Legal business name
- LIVE OAK MANAGEMENT, L.P.
- Practice address
- 300 E Devereaux St
Decatur, TX 76234-3033 - Phone
- (940) 627-1104
- Fax
- (940) 627-1159
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Underwood
- Title
- Partner
- Phone
- (940) 374-3804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 132992 | TX | Primary |
Addresses
Primary practice location
300 E Devereaux St
Decatur, TX 76234-3033
Mailing address
9450 FM 2210 E
Poolville, TX 76487-5028
Phone (940) 374-3804
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334707200000",
"number": "1013274794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 FM 2210 E",
"city": "POOLVILLE",
"state": "TX",
"postal_code": "764875028",
"telephone_number": "940-374-3804",
"fax_number": "940-374-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E DEVEREAUX ST",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343033",
"telephone_number": "940-627-1104",
"fax_number": "940-627-1159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE OAK MANAGEMENT, L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "940-374-3804"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "132992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.