Basic Information
| Provider Information | |||||||||
| NPI: | 1972704294 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GREEN OAKS NURSING AND REHABILITATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3033 GREEN OAKS BLVD | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172226000 | ||||||||
| FaxNumber: | 8174571737 | ||||||||
| Practice Location | |||||||||
| Address1: | 3033 GREEN OAKS BLVD | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172226000 | ||||||||
| FaxNumber: | 8174571737 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | VAUGHN | ||||||||
| AuthorizedOfficialFirstName: | STEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8172226000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 313M00000X | 120545 | TX | Y | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility |
No ID Information.