OrganizationActive
Live Oak Holdings, LLC
NPI 1972961415 · Assisted Living Facility · Decatur, TX
Provider details
- NPI number
- 1972961415
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Allan Erselius, Chief Operating Officer(562) 301-9819
- License
- 141222 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
300 E Devereaux St
Decatur, TX 76234-3033
Phone: (940) 627-1104
Fax: (940) 627-1159
Street-level locationGet directions
Mailing address
300 E Devereaux St
Decatur, TX 76234-3033
Other names (DBA / former)
- Doing business as
- Governor'S Ridge Retirement
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2016-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.