Four Seasons Nursing Centers Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH-5514-5514 Issued in OK

Legal business name

FOUR SEASONS NURSING CENTERS INC

Doing business as

ManorCare Health Services - Southwest

Practice address

5600 S Walker Ave
Oklahoma City, OK 73109-8314

Phone

(405) 632-7771

Fax

(405) 632-2406

NPI assigned

Jun 9, 2006

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 - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services - Southwest Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1114968179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-252-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098314",
            "telephone_number": "405-632-7771",
            "fax_number": "405-632-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS NURSING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH-5514-5514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100772760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foundation Surgery Affiliate of Northwest Oklaho (Foundation Surgery Center of Oklahoma)
• Founders Healthcare, LLC
• Fountain of Hope Family Services, Inc.
• Ralph Eugene Fountain, PA
• Fountains Canterbury SL, LLC (The Fountains at Canterbury)
• Four Seasons Nursing Centers Inc (Manor Care Health Services - Northwest)
• Nathaniel Richard Fout, PH.D., M.D.
• Evan Fowle, D.O.
• Tammy Lynn Fowler Rice, LCSW
• Bonnie Dee Fowler, LPC

• Skilled Nursing Facility in Oklahoma City, OK
• Providers in Oklahoma 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 Aug 7, 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.