Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home
NPI 1689662488 · Skilled Nursing Facility · Texarkana, TX
Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home is a Skilled Nursing Facility organization in Texarkana, TX (NPI 1689662488).
Provider details
- NPI number
- 1689662488
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Deshotels, President Member(870) 773-2376
- License
- 113456 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2008-06-24
Frequently asked questions
- What is Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's NPI number?
- Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's National Provider Identifier (NPI) is 1689662488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home?
- Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home located?
- Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's practice location on file with NPPES is 4925 Elizabeth St, Texarkana, TX 75503-2911.
- What is Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's phone number?
- The practice phone number listed in the NPPES registry for Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home is (903) 793-4645.
- Who is the authorized official for Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home?
- The authorized official listed on Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's NPPES record is Kyle Deshotels, President Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's NPI active?
- Yes — Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home's NPI (1689662488) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.