Broken Arrow Nursing Home Inc
LBN: Broken Arrow Nursing Home Inc
Broken Arrow Nursing Home Inc is an health care organization with primary practice located at 424 N Date Ave , Broken Arrow OK 74012-3872. 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 / Skilled Nursing Facility is the primary health care specialty.
Broken Arrow Nursing Home Inc can be contacted via phone (918) 251-5343, or through Cooper, Joanna Mae via phone (918) 251-5343.
Contact Information
Primary practice address
424 N Date Ave
Broken Arrow OK 74012-3872
Phone: (918) 251-5343
Fax: (918) 258-9942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 7205 | Oklahoma |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 7205 | Oklahoma |
Profile Details
| NPI number | 1801913371 |
|---|---|
| LBN Legal business name | Broken Arrow Nursing Home Inc |
| DBA Doing business as | |
| Authorized official | Cooper, Joanna Mae |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Mar 11th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801913371 | NPPES |
| Oklahoma | MEDICAID | 100772960A |
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