Organization Active NPI

Hobart Nursing and Rehab

  • Skilled Nursing Facility
  • Hobart, OK
National Provider Identifier
1003204322
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH3803-3803 Issued in OK
Legal business name
HOBART NURSING AND REHAB
Practice address
709 N Lowe St
Hobart, OK 73651-1642
Phone
(479) 715-6759
Fax
(479) 715-6922
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradford Montgomery
Title
Member
Phone
(479) 715-6759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH3803-3803 OK Primary

Addresses

Primary practice location

709 N Lowe St
Hobart, OK 73651-1642

Mailing address

9 Professional Dr
Bella Vista, AR 72715-8462
Phone (479) 715-6759

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1003204322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158462",
            "telephone_number": "479-715-6759",
            "fax_number": "479-715-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N LOWE ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511642",
            "telephone_number": "479-715-6759",
            "fax_number": "479-715-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBART NURSING AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-715-6759"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH3803-3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.