MEDICARE: OAK MANOR, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	005287	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457398133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK MANOR, INC.

Provider Business Mailing Address
First Line	:	111 COLLEGE ST
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1601
Country	:	US
Telephone Number	:	979-743-6537
Fax Number	:	979-743-3485

Provider Business Practice Location Address
First Line	:	111 COLLEGE ST
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1601
Country	:	US
Telephone Number	:	979-743-6537
Fax Number	:	979-743-3485

Authorized Official
Title or Position	:	FACILITY ADMINISTRATOR
Name	:	PEYTON MICHELLE HATFIELD
Credential	:
Telephone Number	:	979-743-6537

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	02/11/2026

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Directions to “OAK MANOR, INC. ” Practice Location

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