Rose Manor, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH6301-6301 Issued in OK

Legal business name

ROSE MANOR, LLC

Practice address

1610 North Bryan
Shawnee, OK 74804-4229

Phone

(405) 275-9004

Fax

(405) 275-9472

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Jeanne Praytor, RN

Title

Owner

Phone

(405) 598-5613

Specialties & licenses 1

Addresses

Other names 1

• Rose Manor Nursing Center Doing business as

Locations

Practitioners 1

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

• Merle Leslie Davis, M.D.

  • Internal Medicine Physician
  • Shawnee, OK
  • NPI 1669411146
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1144387259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 NORTH BRYAN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044229",
            "telephone_number": "405-275-9004",
            "fax_number": "405-275-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 NORTH BRYAN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044229",
            "telephone_number": "405-275-9004",
            "fax_number": "405-275-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "PRAYTOR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-598-5613",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6301-6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Manor Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Rodgers
• Michelle Lynn Roe
• Alan W. Rogers, L.P.N.
• Savanna Rhett Rogers, LPN
• Rooted Counseling Services, LLC
• Angela M Rose, L.P.N
• Karen A Rose, MD
• Kennedy Rose
• Lea J Ross, BHCM II
• Lauren M Rubino, ARNP

• Nursing Facility/Intermediate Care Facility in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.