Organization Active NPI

Narulas Healthcare LLC

  • Assisted Living Facility
  • Mustang, OK
National Provider Identifier
1033310370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL0902-0902 Issued in OK
Legal business name
NARULAS HEALTHCARE LLC
Doing business as
Mustang Manor Assisted Living
Practice address
1017 W Highway 152
Mustang, OK 73064
Phone
(405) 376-5600
Fax
(405) 376-3867
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
S Wendy McEntire
Title
Corp Business MGR
Phone
(405) 737-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL0902-0902 OK Primary

Addresses

Primary practice location

1017 W Highway 152
Mustang, OK 73064

Mailing address

1380 S Douglas Blvd
Midwest City, OK 73130-5215
Phone (405) 737-0881

Other names 1

  • Mustang Manor Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033310370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305215",
            "telephone_number": "405-737-0881",
            "fax_number": "405-737-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W HIGHWAY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-376-5600",
            "fax_number": "405-376-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARULAS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "CORP BUSINESS MGR",
        "authorized_official_telephone_number": "405-737-0881"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL0902-0902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustang Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.