NPIMap

Organization Active NPI

Edna Lee's, Inc.

  • Assisted Living Facility
  • Vinita, OK
National Provider Identifier
1023346574
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC1806-1806 Issued in OK
Legal business name
EDNA LEE'S, INC.
Practice address
421 W South Ave
Vinita, OK 74301-4143
Phone
(918) 256-3131
Fax
(918) 256-8507
NPI assigned
Nov 20, 2009
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Edna Lee Keaton
Title
RC/Al Administor
Phone
(918) 521-0765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RC1806-1806 OK Primary

Addresses

Primary practice location

421 W South Ave
Vinita, OK 74301-4143

Mailing address

421 W South Ave
Vinita, OK 74301-4143
Phone (918) 256-3131

National Provider Directory

National Provider Directory
Tax ID family
Edna Lee's Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

421 W South Ave
Vinita, OK 74301
Phone (918) 256-3131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1023346574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W SOUTH AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014143",
            "telephone_number": "918-256-3131",
            "fax_number": "918-256-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W SOUTH AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014143",
            "telephone_number": "918-256-3131",
            "fax_number": "918-256-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA LEE'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RC/AL ADMINISTOR",
        "authorized_official_telephone_number": "918-521-0765"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "RC1806-1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.