Organization Active NPI

R L Toms Inc

Doing business as Live Oak Medical Center

  • Nursing Facility/Intermediate Care Facility
  • Blanco, TX
National Provider Identifier
1508873696
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
115368 Issued in TX
Legal business name
R L TOMS INC
Doing business as
Live Oak Medical Center
Practice address
618 Live Oak St
Blanco, TX 78606-9998
Phone
(830) 833-4567
Fax
(830) 833-0466
NPI assigned
Aug 2, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
R L TOMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Lyndi Achilles
Title
Regional Administrator Director
Phone
(830) 833-4567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 115368 TX Primary
Nursing Facility/Intermediate Care Facility 313M00000X 121827 TX

Addresses

Primary practice location

618 Live Oak St
Blanco, TX 78606-9998

Mailing address

PO Box 356
Blanco, TX 78606-0356
Phone (830) 833-4567

Other identifiers 1

IdentifierTypeStateIssuer
000434202MedicaidTX

Other names 1

  • Live Oak Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
R L Toms Inc2 organizations share this tax ID, including this one
Part of
R L Toms Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1508873696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786060356",
            "telephone_number": "830-833-4567",
            "fax_number": "830-833-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LIVE OAK ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786069998",
            "telephone_number": "830-833-4567",
            "fax_number": "830-833-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R L TOMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R L TOMS INC",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ACHILLES",
        "authorized_official_first_name": "LYNDI",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR DIRECTOR",
        "authorized_official_telephone_number": "830-833-4567"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115368",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "121827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000434202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blanco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.