Lake Drive Care And Rehabilitation Center

LBN: Lake Drive Health Care Llc
Lake Drive Care And Rehabilitation Center is an health care organization with primary practice located at 600 Lake Rd , Henryetta OK 74437-5415. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Lake Drive Health Care Llc can be contacted via phone (918) 652-8101, or through Bienstock, Judah via phone (314) 812-2550.

Contact Information

Primary practice address
600 Lake Rd Henryetta OK 74437-5415
Phone: (918) 652-8101
Fax: (918) 652-0253
Website:
Map and Directions
Authorized official contact:
Name: Bienstock, Judah
Phone: (314) 812-2550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X NH5605 Oklahoma

Profile Details

NPI number 1598002966
LBN Legal business name Lake Drive Health Care Llc
DBA Doing business as Lake Drive Care And Rehabilitation Center
Authorized official Bienstock, Judah
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2013
Last updated Dec 2nd, 2015 - about 9 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 1598002966 NPPES
Oklahoma MEDICAID 100779100A

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