Provider Demographics
NPI:1407864333
Name:UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY
Other - Org Name:LIVE OAK NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:APOLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-6251
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 HWY 281
Practice Address - Street 2:
Practice Address - City:GEORGE WEST
Practice Address - State:TX
Practice Address - Zip Code:78022
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:2006-08-04
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001025977Medicaid
TX675104Medicare Oscar/Certification
TX001013934Medicaid