Provider Demographics
NPI:1639289861
Name:OAKHURST MANOR PERSONAL CARE HOME INC.
Entity Type:Organization
Organization Name:OAKHURST MANOR PERSONAL CARE HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADELYN
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:ASHBY
Authorized Official - Suffix:
Authorized Official - Credentials:M OTR
Authorized Official - Phone:512-285-3673
Mailing Address - Street 1:826 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-1204
Mailing Address - Country:US
Mailing Address - Phone:512-285-3673
Mailing Address - Fax:512-281-0217
Practice Address - Street 1:826 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-1204
Practice Address - Country:US
Practice Address - Phone:512-285-3673
Practice Address - Fax:512-281-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117671310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility