NPIMap

Organization Active NPI

Oak Creek Personal Care Home

  • Assisted Living Facility
  • Poteet, TX
National Provider Identifier
1285644138
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
000519 Issued in TX
Legal business name
OAK CREEK PERSONAL CARE HOME
Practice address
299 Oak Creek Estates
Poteet, TX 78065
Phone
(830) 276-4248
Fax
(830) 276-4248
NPI assigned
Aug 9, 2006
Reactivated
Apr 13, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Mr. Eloy Winters Duncan
Title
Owner
Phone
(830) 276-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 000519 TX Primary

Addresses

Primary practice location

299 Oak Creek Estates
Poteet, TX 78065

Mailing address

PO Box 1479
Poteet, TX 78065-1479
Phone (830) 276-4248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1285644138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1479",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780651479",
            "telephone_number": "830-276-4248",
            "fax_number": "830-276-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 OAK CREEK ESTATES",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "78065",
            "telephone_number": "830-276-4248",
            "fax_number": "830-276-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-04-13",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ELOY",
        "authorized_official_middle_name": "WINTERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-276-4248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.