Oak Grove Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

509601 Issued in TX

Legal business name

OAK GROVE NURSING HOME INC

Practice address

6230 Warren St
Groves, TX 77619-4214

Phone

(409) 963-1266

Fax

(409) 962-9622

NPI assigned

Aug 25, 2006

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan D Fells

Title

Administrator

Phone

(409) 963-1266

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1508973280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WARREN ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 WARREN ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194214",
            "telephone_number": "409-963-1266",
            "fax_number": "409-962-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "FELLS",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-963-1266"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "5906",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "509601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Stamatis Nesbitt, MS, CCC-SLP
• Van Thi Thuy Ngo
• My Hien Nguyen, FNP
• Pauline Hao-Hanh Nguyen, PHARM. D.
• Tien Ngoc Nguyen, PHARMD
• Rosa Marie Paiz, COTA
• Jennifer Pedraza, PTA
• Brent Pham, PHARMD.
• Pinnacle Health Services
• Laura Olivia Pittman, NP

• Skilled Nursing Facility in Groves, TX
• Providers in Groves, 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 Aug 12, 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.