OAKLAND MANOR NURSING CENTER, LP
NPI 1679554018
Skilled Nursing Facility in Giddings, TX

NPI Status: Active since November 11, 2005

Contact Information

1400 N MAIN ST
GIDDINGS, TX
ZIP 78942
Phone: (979) 542-1755
Fax: (979) 542-7002

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 45D0678202
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About OAKLAND MANOR NURSING CENTER, LP

This page provides the complete NPI Profile along with additional information for Oakland Manor Nursing Center, Lp, a provider established in Giddings, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1679554018 assigned on November 2005. The practitioner's primary taxonomy code is 314000000X with license number 108720 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Carly Lynn Wallace Lvn (Mds / Pps Nurse)

NPI
1679554018
Provider Name
OAKLAND MANOR NURSING CENTER, LP
Entity Type
Organization
Location Address
1400 N MAIN ST GIDDINGS, TX 78942
Location Phone
(979) 542-1755
Location Fax
(979) 542-7002
Mailing Address
1400 N MAIN ST GIDDINGS, TX 78942
Mailing Phone
(979) 542-1755
Mailing Fax
(979) 542-7002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
108720
License State
TX
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CARLY LYNN WALLACE LVN

Authorized Official Title
MDS / PPS NURSE
Authorized Official Phone
(979) 542-1755

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0678202
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
CAROL BERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oakland Manor Nursing Center, Lp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OAKLAND MANOR NURSING CENTER, LP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679554018
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149105802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 0 + 5 + 8 + 0 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1679554018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366840647 GLENNA SMITH
Individual
Physical Therapy Assistant1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755
1467840678 JANA ERICKSON COTA
Individual
Occupational Therapy Assistant1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755
1871981738 ANNETTE MACK PTA
Individual
Physical Therapy Assistant1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755
1881122398 XAVIER ANTHONY PRATT
Individual
Physical Therapy Assistant1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755
1932639135 KRISTEN SOOS MS CCC-SLP
Individual
Speech-Language Pathologist1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755
1881105567 AMANDA SATTERFIELD
Individual
Occupational Therapy Assistant1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755
1174574958WINNIE-STOWELL HOSPITAL DISTRICT
Organization
Skilled Nursing Facility1400 N MAIN ST
GIDDINGS, TX 78942
(979) 542-1755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679554018, enumerated in the NPI registry as an "organization" on November 11, 2005

The provider is located at 1400 N Main St Giddings, Tx 78942 and the phone number is (979) 542-1755

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 45D0678202 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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