Grace Living Center - Brookwood

LBN: Brookwood Nursing Center, Llc
Grace Living Center - Brookwood is an health care organization with primary practice located at 940 Sw 84Th St , Oklahoma City OK 73139-9255. 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. Brookwood Nursing Center, Llc can be contacted via phone (405) 636-0626, or through Dimond, Mike via phone (405) 943-1144.

Contact Information

Primary practice address
940 Sw 84Th St Oklahoma City OK 73139-9255
Phone: (405) 636-0626
Fax: (405) 634-7738
Website:
Map and Directions
Authorized official contact:
Name: Dimond, Mike
Phone: (405) 943-1144

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5554-5554 Oklahoma

Profile Details

NPI number 1295830933
LBN Legal business name Brookwood Nursing Center, Llc
DBA Doing business as Grace Living Center - Brookwood
Authorized official Dimond, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 24th, 2020 - about 5 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 1295830933 NPPES
Oklahoma MEDICAID 100776930A

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