Provider Demographics
NPI:1740237809
Name:OAKVIEW HEALTHCARE RESIDENCE LTD.
Entity Type:Organization
Organization Name:OAKVIEW HEALTHCARE RESIDENCE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, COO OHCR INC. GEN. PTR.
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MARWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-753-7367
Mailing Address - Street 1:2524 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7418
Mailing Address - Country:US
Mailing Address - Phone:254-753-7367
Mailing Address - Fax:254-753-5776
Practice Address - Street 1:507 HICKORY AVE
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:TX
Practice Address - Zip Code:76648-2225
Practice Address - Country:US
Practice Address - Phone:254-576-2518
Practice Address - Fax:254-576-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113043314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675926Medicare ID - Type Unspecified