Old Town Health Care LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OLD TOWN HEALTH CARE LTD

Doing business as

Oak Manor Nursing Home

Practice address

1200 Ferguson St
Nacogdoches, TX 75961-4068

Phone

(936) 564-7359

Fax

(936) 564-6503

NPI assigned

Nov 21, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mark Saintignan

Title

Member

Phone

(936) 564-7359

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oak Manor Nursing Home Doing business as

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1285064634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FERGUSON ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614068",
            "telephone_number": "936-564-7359",
            "fax_number": "936-564-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FERGUSON ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614068",
            "telephone_number": "936-564-7359",
            "fax_number": "936-564-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN HEALTH CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "SAINTIGNAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "936-564-7359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004387",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Nacogdoches, TX
• Providers in Nacogdoches, 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 Nov 21, 2013; 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.