=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346199262
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIVINGSTON MANOR INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2026
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 GARDEN RIDGE DR
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77351-5001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-327-3141
-----------------------------------------------------
Fax | 936-327-0038
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25503 OAKHURST DR STE 200
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77386-5049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-327-3141
-----------------------------------------------------
Fax | 936-327-0038
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROSE DE BOND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-696-2455
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------