Provider Demographics
NPI:1194707646
Name:LIVE OAK NURSING CENTER LP
Entity type:Organization
Organization Name:LIVE OAK NURSING CENTER LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-449-2532
Mailing Address - Street 1:2951 HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:GEORGE WEST
Mailing Address - State:TX
Mailing Address - Zip Code:78022-3845
Mailing Address - Country:US
Mailing Address - Phone:361-449-2532
Mailing Address - Fax:361-449-2679
Practice Address - Street 1:2951 HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:GEORGE WEST
Practice Address - State:TX
Practice Address - Zip Code:78022-3845
Practice Address - Country:US
Practice Address - Phone:361-449-2532
Practice Address - Fax:361-449-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112025314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility