LEGEND OAKS - SAN ANGELO, LLC
NPI 1720003536
Skilled Nursing Facility in San Angelo, TX
NPI Status: Active since July 13, 2006
Contact Information
5455 KNICKERBOCKER RD
SAN ANGELO, TX
ZIP 76904
Phone: (325) 944-1600
Fax: (325) 944-1660
- Organization
- Skilled Nursing Facility
About LEGEND OAKS - SAN ANGELO, LLC
This page provides the complete NPI Profile along with additional information for Legend Oaks - San Angelo, Llc, a provider established in San Angelo, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1720003536 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number 5472 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Martin Tomerlin (President)
- NPI
- 1720003536
- Provider Name
- LEGEND OAKS - SAN ANGELO, LLC
- Entity Type
- Organization
- Location Address
- 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904
- Location Phone
- (325) 944-1600
- Location Fax
- (325) 944-1660
- Mailing Address
- 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904
- Mailing Phone
- (325) 944-1600
- Mailing Fax
- (325) 944-1660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2006
- Last Update Date
- 10-12-2007
- Code Navigator
Location Map
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.
- 5472
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 676100 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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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. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 0 | 3 | 5 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 0 | 6 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 0 + 6 + 5 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1720003536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588799530 | DR. ROBERT JOSEPH WIERZOWIECKI PT, DPT Individual | Physical Therapist | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1417217076 | AMBER DELPILAR PTA Individual | Physical Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1386045946 | KELSEY JO HENDRIX PT, DPT Individual | Physical Therapist | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 942-4000 |
| 1629559158 | ELIZABETH CHAVEZ COTA/L Individual | Occupational Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1194206524 | JACK CLIFTON CLANTON III PTA Individual | Physical Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 942-4000 |
| 1013499789 | CHANNA NOWELL COTA Individual | Occupational Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1285114553 | ANN MARIE BODINE Individual | Physical Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1417437708 | LOUIS JAMES MAGANA JR. Individual | Occupational Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1609356864 | MICHAEL WALLACE Individual | Physical Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1326528365 | JESSICA KRUSE OTR Individual | Occupational Therapist | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1700366598 | MEGAN JOY MCCAULEY COTA Individual | Occupational Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 942-4000 |
| 1619457413 | MR. ROBERT REED LEWIS Individual | Physical Therapy Assistant | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 942-4000 |
| 1023576774 | ANSON HOSPITAL DISTRICT Organization | Skilled Nursing Facility | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1770042384 | REGENCY IHS OF SAN ANGELO LLC SAN ANGELO NURSING AND REHAB Organization | Skilled Nursing Facility | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1841519295 | SAN ANGELO SCC, LLC Organization | Skilled Nursing Facility | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1600 |
| 1790526929 | UVALDE COUNTY HOSPITAL AUTHORITY Organization | Skilled Nursing Facility | 5455 KNICKERBOCKER RD SAN ANGELO, TX 76904 (325) 944-1660 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720003536, enumerated in the NPI registry as an "organization" on July 13, 2006
The provider is located at 5455 Knickerbocker Rd San Angelo, Tx 76904 and the phone number is (325) 944-1600
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 13, 2006. 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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