Organization Active NPI

Shawn Manor Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Ponca City, OK
National Provider Identifier
1164461570
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH3607-3607 Issued in OK
Legal business name
SHAWN MANOR NURSING HOME
Doing business as
HNMS, LLC
Practice address
2024 Turner Road
Ponca City, OK 74604-2732
Phone
(580) 765-3364
Fax
(580) 765-3376
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mrs. Vickie Lee Wright, HS
Title
Quality Assurance
Phone
(580) 765-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH3607-3607 OK Primary

Addresses

Primary practice location

2024 Turner Road
Ponca City, OK 74604-2732

Mailing address

2024 Turner Road
Ponca City, OK 74604-2732
Phone (580) 765-3364

Other names 1

  • HNMS, LLC 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": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1164461570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 TURNER ROAD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042732",
            "telephone_number": "580-765-3364",
            "fax_number": "580-765-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 TURNER ROAD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042732",
            "telephone_number": "580-765-3364",
            "fax_number": "580-765-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "QUALITY ASSURANCE",
        "authorized_official_telephone_number": "580-765-3364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HS"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH3607-3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HNMS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

  • 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.