Fountain View Manor, Inc in Henryetta - Skilled Nursing Facility
Fountain View Manor, Inc - NPI 1124026448
Fountain View Manor, Inc is a Skilled Nursing Facility in Henryetta, Oklahoma. Fountain View Manor, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Fountain View Manor, Inc is 1124026448. The last update date is 2013-06-20.
Fountain View Manor, Inc's current location address is 107 E Barclay St, Henryetta, Oklahoma. You can contact this provider via phone number 9186527021 and fax number 9186527216. The mailing address for Fountain View Manor, Inc is 107 E Barclay St, Henryetta, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fountain View Manor, Inc |
|---|---|
| Address | 107 E Barclay St, Henryetta, Oklahoma |
| Phone Number | 9186527021 |
| Fax Number | 9186527216 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADM. |
|---|---|
| Authorized Official Name | Clason Michelle Jennifer |
| Credentials | LPN, NHADM |
| Telephone Number | 9186527021 |
NPI Number Detail
| NPI Number | 1124026448 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2013-06-20 |
Provider Mailing Address Detail
| Address | 107 E Barclay St |
|---|---|
| City | Henryetta |
| State | Oklahoma (OK) |
| Post Code | 744375609 |
| Phone Number | 9186527021 |
| Fax Number | 9186527216 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 375462 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100773730A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fountain View Manor, Inc by the Centers for Medicare & Medicaid Services?
The Fountain View Manor, Inc has been issued the NPI (National Provider Identifier) 1124026448, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fountain View Manor, Inc's facilities are situated?
The facilities of Fountain View Manor, Inc are physically located at the following address: 107 E Barclay St, Henryetta, OK, 744375609.
What is Fountain View Manor, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fountain View Manor, Inc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124026448 to Fountain View Manor, Inc?
The Centers for Medicare & Medicaid Services assigned the 1124026448 to Fountain View Manor, Inc on 2005-07-11.
As of what date was the information regarding Fountain View Manor, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fountain View Manor, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-06-20.