LEGEND OAKS - SAN ANGELO, LLC
NPI 1720003536
Skilled Nursing Facility in San Angelo, TX

Active since July 13, 2006
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 944-1600(325) 944-1660 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legend Oaks - San Angelo, Llc NPPES

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

LEGEND OAKS - SAN ANGELO, LLC (NPI 1720003536) is a healthcare organization registered as a skilled nursing facility in San Angelo, Texas and active in the NPI registry since July 2006. The organization lists Martin Tomerlin, President, as its authorized official.

NPPES Registry Identity

NPI1720003536
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEGEND OAKS - SAN ANGELO, LLC
Location Address5455 KNICKERBOCKER RDSan Angelo, TX 76904-7711
Mailing Address5455 Knickerbocker RdSan Angelo, TX 76904-7711 · (325) 944-1600 · Fax (325) 944-1660
Fax(325) 944-1660
Organization SubpartNo
Authorized OfficialMartin TomerlinPresident · (210) 564-0100
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 12, 2007
NPI 1720003536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 5472
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.
5455 KNICKERBOCKER RD, San Angelo, TX 76904

Other Identifiers 1

Medicare ID-Type Unspecified676100

Other Providers at the Same Location NPPES 16

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

Occupational Therapy Assistant
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Skilled Nursing Facility
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physical Therapy Assistant
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physical Therapy Assistant
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Occupational Therapist
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physical Therapist
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physical Therapy Assistant
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Occupational Therapy Assistant
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904

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 - San Angelo, LLC's NPI number?

The NPI number for Legend Oaks - San Angelo, LLC is 1720003536. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Legend Oaks - San Angelo, LLC located?

Legend Oaks - San Angelo, LLC is located at 5455 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 944-1600.

What is Legend Oaks - San Angelo, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Legend Oaks - San Angelo, LLC was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.