Elmbrook Home, Inc.

LBN: Elmbrook Home, Inc.
Elmbrook Home, Inc. is an health care organization with primary practice located at 1811 9Th Ave Nw , Ardmore OK 73401-2326. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Elmbrook Home, Inc. can be contacted via phone (580) 223-3303, or through Coble, Tom via phone (580) 226-3055.

Contact Information

Primary practice address
1811 9Th Ave Nw Ardmore OK 73401-2326
Phone: (580) 223-3303
Fax: (580) 223-1763
Website:
Map and Directions
Authorized official contact:
Name: Coble, Tom
Phone: (580) 226-3055

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH10031003 Oklahoma

Profile Details

NPI number 1275532616
LBN Legal business name Elmbrook Home, Inc.
DBA Doing business as
Authorized official Coble, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 3rd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275532616 NPPES
Oklahoma MEDICAID 100776890A

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