Live Oak County
Organization Active NPI Case Management Agency · Three Rivers, TX
NPI 1447445804 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1447445804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- 001001677 (TX)
- Legal business name
- LIVE OAK COUNTY
- Practice address
- 102 N Harborth Ave
Three Rivers, TX 78071 - Phone
- (361) 786-3820
- Fax
- (361) 786-3820
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Ida Flores
- Title
- Nurse
- Phone
- (361) 449-8019
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101029000936 | TX | Part B Supplier - Public Health/Welfare Agency | 4284828690 | Practice locations: George West, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 001001677 | TX | Yes |
Addresses
Primary practice location
102 N Harborth Ave
Three Rivers, TX 78071
Mailing address
PO Box 699
George West, TX 78022-0699
Phone (361) 449-2733
Other practice location 1
204 Bowie St.
George West, TX 78022
Phone (361) 449-8043
Other providers in Three Rivers, TX
- Holly Christine Elzey
- Fci Three Rivers
- Wayne Oliver Ghans
- Jourdanton Hospital Corporation
- Linda Lewis, NP Wellness Center PLLC
- Damaris Marquez
- Bianca Crystal Montalvo
- Premise Health of Texas Medical PA
- Cary A Pruski
- Soliz Physical Therapy PLLC
All providers in Three Rivers, TX · Case Management Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.