GOVERNOR'S RIDGE RETIREMENT
NPI 1972961415
Assisted Living Facility in Decatur, TX

Active since January 28, 2016
300 E DEVEREAUX ST, DECATUR, TX 76234(940) 627-1104(940) 627-1159 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Governor's Ridge Retirement NPPES

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

GOVERNOR'S RIDGE RETIREMENT (NPI 1972961415) is a healthcare organization registered as an assisted living facility in Decatur, Texas and active in the NPI registry since January 2016. The organization lists Allan Erselius, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1972961415
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLIVE OAK HOLDINGS, LLC
Location Address300 E DEVEREAUX STDecatur, TX 76234-3033
Mailing Address300 E Devereaux StDecatur, TX 76234-3033 · (940) 627-1104 · Fax (940) 627-1159
Fax(940) 627-1159
Organization SubpartNo
Authorized OfficialAllan ErseliusChief Operating Officer · (562) 301-9819
Enumeration DateJanuary 28, 2016
NPI 1972961415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in TX · 141222
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
300 E DEVEREAUX ST, Decatur, TX 76234

Other Names 1

Doing Business AsGovernor's Ridge Retirement

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
300 E DEVEREAUX ST
DECATUR, TX 76234
Assisted Living Facility
300 E DEVEREAUX ST
DECATUR, TX 76234

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 Live Oak Holdings, LLC's NPI number?

The NPI number for Live Oak Holdings, LLC is 1972961415. It was assigned to this organization in the NPPES registry on January 28, 2016. The provider is doing business as Governor's Ridge Retirement.

Where is Live Oak Holdings, LLC located?

Live Oak Holdings, LLC is located at 300 E Devereaux St, Decatur, TX 76234. The listed phone number is (940) 627-1104.

What is Live Oak Holdings, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Live Oak Holdings, LLC was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.