Organization Active NPI

The Living Center LLC

  • Skilled Nursing Facility
  • Enid, OK
National Provider Identifier
1174697379
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH 2401-2401 Issued in OK
Legal business name
THE LIVING CENTER LLC
Practice address
1409 N 17TH St
Enid, OK 73701-2685
Phone
(580) 234-1411
NPI assigned
Nov 20, 2006
Organization subpart
Yes
Parent organization
LIVING CENTER LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Micheline Nader
Title
Ownwr
Phone
(918) 786-2276

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

National Provider Directory
Part of
The Living Center LLC

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH 2401-2401 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

1409 N 17TH St
Enid, OK 73701-2685

Mailing address

1409 N 17TH St
Enid, OK 73701-2685
Phone (580) 234-1411

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200059330AMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2011.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1174697379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N 17TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737012685",
            "telephone_number": "580-234-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N 17TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737012685",
            "telephone_number": "580-234-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING CENTER LLC",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "NADER",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_title_or_position": "OWNWR",
        "authorized_official_telephone_number": "918-786-2276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH 2401-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.