# LEGEND OAKS - KATY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legend Oaks Healthcare and Rehabilitation - Katy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962751941
- **Authorized official:** THOMAS MARTIN TOMERLIN (PRESIDENT/COO)
- **Authorized official phone:** (210) 564-0100

## Contact information

- **Practice address:** 21727 PROVINCIAL BLVD, KATY, TX 77450-6508
- **Practice address phone:** (281) 717-1302
- **Mailing address:** 1390 E BITTERS RD, SAN ANTONIO, TX 78216-2914

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2012
- **Last updated:** 03/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001020785 | — | TX |