# NAVARRO CONVALESCENT, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Oaks Retirement Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609850494
- **Authorized official:** MR. JAMES W MOORE SR. (OWNER)
- **Authorized official phone:** (409) 962-0910

## Contact information

- **Practice address:** 3002 W 2ND AVE, CORSICANA, TX 75110-2408
- **Practice address phone:** (903) 872-5130
- **Mailing address:** 3002 W 2ND AVE, CORSICANA, TX 75110-2408
- **Mailing address phone:** (903) 872-5130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 111240 | TX | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 05/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005357 | — | TX |