Broadway Manor Nursing Home

LBN: Broadway Manor Management L.L.C
Broadway Manor Nursing Home is an health care organization with primary practice located at 1622 E Broadway St , Muskogee OK 74403-4601. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Broadway Manor Management L.L.C can be contacted via phone (918) 683-2851, or through Scott, Michael Thornton via phone (918) 683-2851.

Contact Information

Primary practice address
1622 E Broadway St Muskogee OK 74403-4601
Phone: (918) 683-2851
Fax: (918) 683-2992
Website:
Map and Directions
Authorized official contact:
Name: Scott, Michael Thornton
Phone: (918) 683-2851

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Oklahoma

Profile Details

NPI number 1700885787
LBN Legal business name Broadway Manor Management L.L.C
DBA Doing business as Broadway Manor Nursing Home
Authorized official Scott, Michael Thornton
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1700885787 NPPES
Oklahoma Other 000375146001 BLUE CROSS BLUE SHIELD

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