Mitchell Manor Convalescent Home Llc

LBN: Mitchell Manor Convalescent Home Llc
Mitchell Manor Convalescent Home Llc is an health care organization with primary practice located at 315 W Electric Ave , Mcalester OK 74501-3600. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Mitchell Manor Convalescent Home Llc can be contacted via phone (918) 423-4661, or through Mitchell, Niva Jo via phone (918) 423-4661.

Contact Information

Primary practice address
315 W Electric Ave Mcalester OK 74501-3600
Phone: (918) 423-4661
Fax: (918) 423-8382
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Niva Jo
Phone: (918) 423-4661

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH6104-6104 Oklahoma

Profile Details

NPI number 1588704860
LBN Legal business name Mitchell Manor Convalescent Home Llc
DBA Doing business as
Authorized official Mitchell, Niva Jo
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 15th, 2014 - about 10 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 1588704860 NPPES
Oklahoma MEDICAID 100774320A

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