Skiatook Nursing Home, Llc

LBN: Skiatook Nursing Home, Llc
Skiatook Nursing Home, Llc is an health care organization with primary practice located at 318 S Cherry St , Skiatook OK 74070-1325. 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. Skiatook Nursing Home, Llc can be contacted via phone (918) 396-2149, or through Mcgrew, Justin W. via phone (918) 775-4439.

Contact Information

Primary practice address
318 S Cherry St Skiatook OK 74070-1325
Phone: (918) 396-2149
Fax: (918) 396-4256
Website:
Map and Directions
Authorized official contact:
Name: Mcgrew, Justin W.
Phone: (918) 775-4439

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH5705-5705 Oklahoma

Profile Details

NPI number 1336247873
LBN Legal business name Skiatook Nursing Home, Llc
DBA Doing business as
Authorized official Mcgrew, Justin W.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 8th, 2012 - about 14 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 1336247873 NPPES
Oklahoma MEDICAID 200078980A

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