Manor Care of Midwest City Ok LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH55125512 Issued in OK

Legal business name

MANOR CARE OF MIDWEST CITY OK LLC

Practice address

2900 Parklawn Dr
Midwest City, OK 73110-4204

Phone

(405) 737-6601

Fax

(405) 737-4984

NPI assigned

Aug 17, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursement

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services - Midwest Doing business as

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1033341698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN BARRY A LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-254-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104204",
            "telephone_number": "405-737-6601",
            "fax_number": "405-737-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF MIDWEST CITY OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENT",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH55125512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - Midwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jahanyar John Makipour, Jr, MD
• Evelyn Maldonado
• Felicia Ann Manning
• Theodis Manning
• Theodis Roosevelt Manning, B.S. ENGINEERING
• Benjamin Panagiotis Mansalis, M.D.
• Jenell Mapp
• Makenna Marchbanks
• Taylor Clinton Marcum
• Terri Lynn Marino, L.P.C.

• Skilled Nursing Facility in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.