Senior Village Nursing Home in Blanchard - Nursing Facility/intermediate Care Facility
Senior Village Nursing Home - NPI 1336132539
Senior Village Nursing Home is a Nursing Facility/intermediate Care Facility in Blanchard, Oklahoma. Senior Village Nursing Home practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Senior Village Nursing Home is 1336132539. The last update date is 2008-07-01.
Senior Village Nursing Home's current location address is 1104 N Madison Ave, Blanchard, Oklahoma. You can contact this provider via phone number 4054853315. The mailing address for Senior Village Nursing Home is 1104 N Madison Ave, Blanchard, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Senior Village Nursing Home |
|---|---|
| Address | 1104 N Madison Ave, Blanchard, Oklahoma |
| Phone Number | 4054853315 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Simmons Vernon Bobby |
| Credentials | D.PH |
| Telephone Number | 4053602562 |
NPI Number Detail
| NPI Number | 1336132539 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 1104 N Madison Ave |
|---|---|
| City | Blanchard |
| State | Oklahoma (OK) |
| Post Code | 730106504 |
| Phone Number | 4054853315 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | NH4403-4403 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the unique 10-digit identifier code issued to Senior Village Nursing Home by the Centers for Medicare & Medicaid Services?
The Senior Village Nursing Home has been assigned the NPI (National Provider Identifier) 1336132539 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Senior Village Nursing Home?
The Senior Village Nursing Home is situated at 1104 N Madison Ave, in the city of Blanchard, state of OK, with the zip code 730106504.
What is the Senior Village Nursing Home's specialty and taxonomy code?
The Senior Village Nursing Home's specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336132539 to Senior Village Nursing Home?
The Centers for Medicare & Medicaid Services assigned the 1336132539 to Senior Village Nursing Home on 2005-08-24.
As of what date were the details pertaining to Senior Village Nursing Home last refreshed?
The information related to the Senior Village Nursing Home, including its address, specialty, and other relevant details, was last updated on 2008-07-01.