Organization Active NPI

CP SNF Ops LLC

Doing business as Heartway at Colonial Park Health and Rehab

  • Skilled Nursing Facility
  • Okemah, OK
National Provider Identifier
1003752692
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CP SNF OPS LLC
Doing business as
Heartway at Colonial Park Health and Rehab
Practice address
600 W Frontage Rd
Okemah, OK 74859-6442
Phone
(918) 623-1936
NPI assigned
Apr 27, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Kathy Suzette Baucom
Title
Regional Director
Phone
(479) 312-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

600 W Frontage Rd
Okemah, OK 74859-6442

Mailing address

1305 SE Adams St
Idabel, OK 74745-5240
Phone (580) 286-1065

Other names 1

  • Heartway at Colonial Park Health and Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

600 W Frontage Rd
Okemah, OK 74859
Phone (918) 623-1936

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1003752692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SE ADAMS ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455240",
            "telephone_number": "580-286-1065",
            "fax_number": "580-286-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W FRONTAGE RD",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748596442",
            "telephone_number": "918-623-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP SNF OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BAUCOM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "479-312-8280"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartway at Colonial Park Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.