Grove Nursing Center

LBN: Phoenix Healthcare Llc
Grove Nursing Center is an health care organization with primary practice located at 1503 Har-Ber Rd , Grove OK 74344-3525. 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. Phoenix Healthcare Llc can be contacted via phone (918) 786-3223, or through Tallman, Les via phone (918) 786-3223.

Contact Information

Primary practice address
1503 Har-Ber Rd Grove OK 74344-3525
Phone: (918) 786-3223
Fax: (918) 786-2664
Website:
Map and Directions
Authorized official contact:
Name: Tallman, Les
Phone: (918) 786-3223

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH2106-2106 Oklahoma

Profile Details

NPI number 1356454094
LBN Legal business name Phoenix Healthcare Llc
DBA Doing business as Grove Nursing Center
Authorized official Tallman, Les
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2006
Last updated Aug 13th, 2008 - about 16 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 1356454094 NPPES
Oklahoma MEDICAID 200040930F

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