Live Oak Holdings, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

141222 Issued in TX

Legal business name

LIVE OAK HOLDINGS, LLC

Practice address

300 E Devereaux St
Decatur, TX 76234-3033

Phone

(940) 627-1104

Fax

(940) 627-1159

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Allan Erselius

Title

Chief Operating Officer

Phone

(562) 301-9819

Specialties & licenses 1

Addresses

Other names 1

• Governor's Ridge Retirement Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1972961415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DEVEREAUX ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343033",
            "telephone_number": "940-627-1104",
            "fax_number": "940-627-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DEVEREAUX ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343033",
            "telephone_number": "940-627-1104",
            "fax_number": "940-627-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "ERSELIUS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "562-301-9819"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "141222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Governor's Ridge Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legacy West Counseling, PLLC
• Hannah Lewis
• Chadwick Michael Lindt, D.D.S.
• Jeffrey Little, FNP-BC
• Robin Little, LPC-A
• Live Oak Management, L.P.
• Neil Frederick Livingston VI, BSN
• Lonestar Surgical Specialist, PA
• Jeri Kay Long-Kao, LPC, MA MFT
• Thomas N Long, MD

• Assisted Living Facility in Decatur, TX
• Providers in Decatur, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.