Autumn Wood Opco, Llc

LBN: Autumn Wood Opco, Llc
Autumn Wood Opco, Llc is an health care organization with primary practice located at 2700 N Hickory St , Claremore OK 74017-1214. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Autumn Wood Opco, Llc can be contacted via phone (918) 283-4949, or through Mere, Theresa via phone (325) 691-5591.

Contact Information

Primary practice address
2700 N Hickory St Claremore OK 74017-1214
Phone: (918) 283-4949
Fax: (918) 283-4508
Website:
Map and Directions
Authorized official contact:
Name: Mere, Theresa
Phone: (325) 691-5591

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X NH6609 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 375553 Oklahoma

Profile Details

NPI number 1184059982
LBN Legal business name Autumn Wood Opco, Llc
DBA Doing business as
Authorized official Mere, Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2013
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184059982 NPPES
Oklahoma MEDICAID 200478150A

Popular Providers