LEGEND OAKS HEALTHCARE AND REHABILITATION - KYLE
NPI 1477863660
Skilled Nursing Facility in Kyle, TX

Active since October 21, 2010CLIA 45D2015296 · Waiver

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legend Oaks Healthcare And Rehabilitation - Kyle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGEND OAKS HEALTHCARE AND REHABILITATION - KYLE (NPI 1477863660) is a healthcare organization registered as a skilled nursing facility in Kyle, Texas and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Thomas Martin Tomerlin, President/coo, as its authorized official.

NPPES Registry Identity

NPI1477863660
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEGEND OAKS - KYLE, LLC
Location Address1640 FAIRWAYKyle, TX 78640-9998
Mailing Address1390 E Bitters RdSan Antonio, TX 78216-2914 · (210) 564-0100
Organization SubpartNo
Authorized OfficialThomas Martin TomerlinPresident/coo · (210) 564-0100
Enumeration DateOctober 21, 2010
Last NPPES UpdateMarch 25, 2015
NPI 1477863660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
1640 FAIRWAY, Kyle, TX 78640

Other Names 1

Doing Business AsLegend Oaks Healthcare And Rehabilitation - Kyle

Other Identifiers 2

Medicaid001019091TX
Medicare OSCAR/certification676272

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2015296

Legend Oaks Healthcare And Rehabilitation- Kyle · Kyle, TX
Active · expires Oct 24, 2026
CLIA Number45D2015296
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorMichael Krol
Laboratory Phone(512) 268-1003
Laboratory LocationLegend Oaks Healthcare And Rehabilitation- Kyle1640 Fairway, Kyle, TX 78640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1640 FAIRWAY
KYLE, TX 78640
Nurse Practitioner (Gerontology)
1640 FAIRWAY
KYLE, TX 78640
Skilled Nursing Facility
1640 FAIRWAY
KYLE, TX 78640
Physician Assistant
1640 FAIRWAY
KYLE, TX 78640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legend Oaks - Kyle, LLC's NPI number?

The NPI number for Legend Oaks - Kyle, LLC is 1477863660. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Legend Oaks Healthcare And Rehabilitation - Kyle.

Where is Legend Oaks - Kyle, LLC located?

Legend Oaks - Kyle, LLC is located at 1640 Fairway, Kyle, TX 78640. The listed phone number is (512) 268-1003.

What is Legend Oaks - Kyle, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Legend Oaks - Kyle, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2015296) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Legend Oaks - Kyle, LLC was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.