Poteet Manor Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

112768 Issued in TX

Legal business name

POTEET MANOR INC

Doing business as

Legacy Living Centers

Practice address

329 School Dr
Poteet, TX 78065-4307

Phone

(830) 742-3525

Fax

(830) 742-8710

NPI assigned

Sep 27, 2005

Last updated

Mar 31, 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

Mr. Janice Pita

Title

Insurance/Medicare

Phone

(580) 622-6300

Specialties & licenses 1

Addresses

Other names 1

• Legacy Living Centers Doing business as

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1720074420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SCHOOL DR",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780654307",
            "telephone_number": "830-742-3525",
            "fax_number": "830-742-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 SCHOOL DR",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780654307",
            "telephone_number": "830-742-3525",
            "fax_number": "830-742-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTEET MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "112768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Living Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oak Creek Estate Alf
• Oak Creek Personal Care Home
• Angela Pena
• Elizabeth Robles Pena, LVN
• Dayna Nicole Poorboy, LVN
• Poteet Nursing and Rehabilitation, LP
• Selina Marie Reyna
• Vanessa Salazar
• Latonya Shadowens, NP
• Shady Shores of Poteet LLC (Poteet Manor)

• Nursing Facility/Intermediate Care Facility in Poteet, TX
• Providers in Poteet, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.