Oakwood Health Care Center LTD. Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109654 Issued in TX

Legal business name

OAKWOOD HEALTH CARE CENTER LTD. CO

Doing business as

Oakwood Manor Nursing Home

Practice address

225 S Main St
Vidor, TX 77662-9256

Phone

(409) 769-3692

Fax

(409) 769-1390

NPI assigned

Sep 22, 2005

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Robin Underhill

Title

Chief Executive

Phone

(214) 954-4114

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Oakwood Manor Nursing Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1033105341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776629256",
            "telephone_number": "409-769-3692",
            "fax_number": "409-769-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD HEALTH CARE CENTER LTD. CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "214-954-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109654",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155313301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022631801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000475304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "H249S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minor Home Healthcare & Housekeeping Associates
• Connie Ann Mixon
• Nirvana Nashed, PHARMD
• Gwendoline Nyajro
• Oakbend Medical Center (Oakwood Manor Nursing Home)
• Sei C Oh, M.D.
• Colin Paulino, COTA
• Breanna Peacock
• Kyra Poole, OTR/L
• Eduardo Camilo Powell, OTR

• Skilled Nursing Facility in Vidor, TX
• Providers in Vidor, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.