Guthrie Cottages, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

NH4208 Issued in OK

Legal business name

GUTHRIE COTTAGES, LLC

Practice address

405 N 20TH St
Guthrie, OK 73044-2103

Phone

(405) 285-8166

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Bill Bush

Title

Cfo

Phone

(405) 285-8166

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Guthrie Cottages LLC2 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.

• Guthrie Cottages, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Guthrie, OK
  • NPI 1598134165
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James B Krablin, MD

  • Internal Medicine Physician
  • Lexington, OK
  • NPI 1679509657
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1043689615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 FRENCH PARK DR",
            "address_2": "SUITE 6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347277",
            "telephone_number": "405-285-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N 20TH ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730442103",
            "telephone_number": "405-285-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE COTTAGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-285-8166"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH4208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Age Nursing Home of Guthrie Inc.
• Golden Age Nursing Home of Guthrie LLC
• Betty Sue Gray, PEER SPECIALIST
• Mark E. Gregory, M.D.
• Susan Renae Groom
• Guthrie Cottages, LLC
• Guthrie Dental Group
• Guthrie Eye Care Clinic, Inc.
• Guthrie Home Care Medical Equipment Company LLC
• Guthrie Pharmacy Inc

• All providers in Guthrie, OK
• Intellectual Disabilities Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.