Advanced Living Technologies Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117722 Issued in TX

Legal business name

ADVANCED LIVING TECHNOLOGIES INC

Doing business as

Manor Oaks Nursing Center

Practice address

222 S FM 487
Rockdale, TX 76567-5047

Phone

(512) 446-5893

Fax

(512) 446-6785

NPI assigned

Apr 13, 2007

Last updated

Nov 1, 2012By 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. Paul Gray

Title

President

Phone

(512) 345-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MANOR OAKS NURSING CENTER Doing business as

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1821212309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 MORADO CIR",
            "address_2": "SUITE 3 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595696",
            "telephone_number": "512-345-0700",
            "fax_number": "888-368-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S FM 487",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765675047",
            "telephone_number": "512-446-5893",
            "fax_number": "512-446-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIVING TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-345-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000496303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANOR OAKS NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Rockdale, TX
• Providers in Rockdale, 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 Nov 1, 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.