Organization Active NPI

Live Oak Management, L.P.

  • Assisted Living Facility
  • Decatur, TX
National Provider Identifier
1013274794
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
132992 Issued in TX
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

Updated by the provider on Apr 18, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.