Grace Living Center - Southwest Okc

LBN: Capitol Hill Nursing Center, Llc
Grace Living Center - Southwest Okc is an health care organization with primary practice located at 2400 Sw 55Th St , Oklahoma City OK 73119-6604. 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. Capitol Hill Nursing Center, Llc can be contacted via phone (405) 681-5381, or through Deroin, Kristy via phone (405) 943-1144.

Contact Information

Primary practice address
2400 Sw 55Th St Oklahoma City OK 73119-6604
Phone: (405) 681-5381
Fax: (405) 681-3806
Website:
Map and Directions
Authorized official contact:
Name: Deroin, Kristy
Phone: (405) 943-1144

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5538-5538 Oklahoma

Profile Details

NPI number 1306941174
LBN Legal business name Capitol Hill Nursing Center, Llc
DBA Doing business as Grace Living Center - Southwest Okc
Authorized official Deroin, Kristy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 14th, 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 1306941174 NPPES
Oklahoma MEDICAID 100774730A

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