Grace Living Center - Edmond

LBN: Timberlane Manor, Llc
Grace Living Center - Edmond is an health care organization with primary practice located at 2520 South Rankin , Edmond OK 73013. 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. Timberlane Manor, Llc can be contacted via phone (405) 341-1433, or through Deroin, Kristy via phone (405) 943-1144.

Contact Information

Primary practice address
2520 South Rankin Edmond OK 73013
Phone: (405) 341-1433
Fax: (405) 562-2128
Website:
Map and Directions
Authorized official contact:
Name: Deroin, Kristy MBA
Phone: (405) 943-1144

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5536-5536 Oklahoma

Profile Details

NPI number 1255425898
LBN Legal business name Timberlane Manor, Llc
DBA Doing business as Grace Living Center - Edmond
Authorized official Deroin, Kristy MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 13th, 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 1255425898 NPPES
Oklahoma MEDICAID 100810270B

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