Organization Active NPI

Oakcrest Manor Nursing Home LLC

  • Nursing Facility/Intermediate Care Facility
  • Austin, TX
National Provider Identifier
1184709602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
OAKCREST MANOR NURSING HOME LLC
Practice address
9808 Crofford LN
Austin, TX 78724-1004
Phone
(512) 272-5511
Fax
(512) 272-8031
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Alka Punjabi
Title
Owner
Phone
(512) 272-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X TX Primary

Addresses

Primary practice location

9808 Crofford LN
Austin, TX 78724-1004

Mailing address

9808 Crofford LN
Austin, TX 78724-1004
Phone (512) 272-5511

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0660626Oakcrest Manor Nursing Home9808 Crofford Lane, Austin, TX 78724Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184709602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 CROFFORD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787241004",
            "telephone_number": "512-272-5511",
            "fax_number": "512-272-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 CROFFORD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787241004",
            "telephone_number": "512-272-5511",
            "fax_number": "512-272-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKCREST MANOR NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNJABI",
        "authorized_official_first_name": "ALKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-272-5511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.