Broken Arrow Nursing Home Inc in Broken Arrow - Nursing Facility/intermediate Care Facility
Broken Arrow Nursing Home Inc - NPI 1801913371
Broken Arrow Nursing Home Inc is a Nursing Facility/intermediate Care Facility in Broken Arrow, Oklahoma. Broken Arrow Nursing Home Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Broken Arrow Nursing Home Inc is 1801913371. The last update date is 2016-03-11.
Broken Arrow Nursing Home Inc's current location address is 424 N Date Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182515343 and fax number 9182589942. The mailing address for Broken Arrow Nursing Home Inc is 424 N Date Ave, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broken Arrow Nursing Home Inc |
|---|---|
| Address | 424 N Date Ave, Broken Arrow, Oklahoma |
| Phone Number | 9182515343 |
| Fax Number | 9182589942 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER OPER |
|---|---|
| Authorized Official Name | Cooper Mae Joanna |
| Telephone Number | 9182515343 |
NPI Number Detail
| NPI Number | 1801913371 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2016-03-11 |
Provider Mailing Address Detail
| Address | 424 N Date Ave |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740123872 |
| Phone Number | 9182515343 |
| Fax Number | 9182589942 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 7205 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100772960A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Broken Arrow Nursing Home Inc by the Centers for Medicare & Medicaid Services?
The Broken Arrow Nursing Home Inc has been assigned the NPI (National Provider Identifier) 1801913371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Broken Arrow Nursing Home Inc?
The Broken Arrow Nursing Home Inc is situated at 424 N Date Ave, in the city of Broken Arrow, state of OK, with the zip code 740123872.
What is Broken Arrow Nursing Home Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Broken Arrow Nursing Home Inc's area of specialization is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this field of practice is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801913371 to Broken Arrow Nursing Home Inc?
The Broken Arrow Nursing Home Inc received its 1801913371 assignment from the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date were the details related to Broken Arrow Nursing Home Inc most recently updated or revised?
The information pertaining to Broken Arrow Nursing Home Inc, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-11.
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