Kenwood Manor Llc

LBN: Kenwood Manor Llc
Kenwood Manor Llc is an health care organization with primary practice located at 502 W Pine Ave , Enid OK 73701-3032. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kenwood Manor Llc can be contacted via phone (580) 233-2722, or through Nader, Micheline via phone (918) 786-2276.

Contact Information

Primary practice address
502 W Pine Ave Enid OK 73701-3032
Phone: (580) 233-2722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nader, Micheline
Phone: (918) 786-2276

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2406-2406 Oklahoma

Profile Details

NPI number 1346314572
LBN Legal business name Kenwood Manor Llc
DBA Doing business as
Authorized official Nader, Micheline
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 20th, 2006
Last updated Sep 8th, 2011 - about 15 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 1346314572 NPPES
Oklahoma MEDICAID 200059530A

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