Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Texarkana Elder Services, Inc Dba Edgewood Manor Nursing Home

Organization Skilled Nursing Facility · NPI 1689662488

Texarkana Elder Services, Inc Dba Edgewood Manor Nursing Home is a Skilled Nursing Facility in Texarkana, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4925 Elizabeth St
Texarkana, TX 75503-2911
Phone: (903) 793-4645
Fax: (903) 793-3956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 113456 (TX)

Record details

NPI number1689662488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Deshotels — President Member · (870) 773-2376
NPI enumeratedOctober 6, 2005
Last updated in NPPESJune 24, 2008
Mailing address4925 Elizabeth St, Texarkana, TX 75503-2911

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