Broadway Manor Management L.L.C in Muskogee - Skilled Nursing Facility

Broadway Manor Management L.L.C - NPI 1700885787

Broadway Manor Management L.L.C is a Skilled Nursing Facility in Muskogee, Oklahoma. Broadway Manor Management L.L.C practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Broadway Manor Management L.L.C is 1700885787. The last update date is 2020-08-22.

Broadway Manor Management L.L.C's current location address is 1622 E Broadway St, Muskogee, Oklahoma. You can contact this provider via phone number 9186832851 and fax number 9186832992. The mailing address for Broadway Manor Management L.L.C is 1622 E Broadway St, Muskogee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadway Manor Management L.L.C
Address 1622 E Broadway St, Muskogee, Oklahoma
Phone Number 9186832851
Fax Number 9186832992
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING M
Authorized Official Name Scott Thornton Michael
Telephone Number 9186832851

NPI Number Detail

NPI Number 1700885787
Provider Enumeration Date 2005-07-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1622 E Broadway St
City Muskogee
State Oklahoma (OK)
Post Code 744034601
Phone Number 9186832851
Fax Number 9186832992

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
375146001 OK BLUE CROSS BLUE SHIELD

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FAQs about Broadway Manor Management L.L.C

What is the unique 10-digit identifier code assigned to Broadway Manor Management L.L.C by the Centers for Medicare & Medicaid Services?

The Broadway Manor Management L.L.C has been issued the NPI (National Provider Identifier) 1700885787 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Broadway Manor Management L.L.C is physically located?

The Broadway Manor Management L.L.C is situated at the following address: 1622 E Broadway St, Muskogee, OK 744034601.

What is Broadway Manor Management L.L.C's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Broadway Manor Management L.L.C's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did the Broadway Manor Management L.L.C receive its 1700885787 assignment from the Centers for Medicare & Medicaid Services?

The Broadway Manor Management L.L.C was assigned its 1700885787 by the Centers for Medicare & Medicaid Services on 2005-07-20.

As of what date was the information regarding Broadway Manor Management L.L.C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Broadway Manor Management L.L.C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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