T.B. Lackey Health Care Center

LBN: Baptist Village Retirement Communities Of Oklahoma Inc
T.B. Lackey Health Care Center is an health care organization with primary practice located at 9700 Mashburn Blvd , Oklahoma City OK 73162-5509. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Baptist Village Retirement Communities Of Oklahoma Inc can be contacted via phone (405) 721-2466, or through Short, Wendell J via phone (405) 942-3000.

Contact Information

Primary practice address
9700 Mashburn Blvd Oklahoma City OK 73162-5509
Phone: (405) 721-2466
Fax: (405) 721-0668
Website:
Map and Directions
Authorized official contact:
Name: Short, Wendell J
Phone: (405) 942-3000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X CC55015501 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X CC55015501 Oklahoma

Profile Details

NPI number 1447253240
LBN Legal business name Baptist Village Retirement Communities Of Oklahoma Inc
DBA Doing business as T.B. Lackey Health Care Center
Authorized official Short, Wendell J
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2005
Last updated Jul 31st, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447253240 NPPES
Oklahoma MEDICAID 100774330A

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