Active NPI
The Living Center LLC
- Skilled Nursing Facility
- Enid, OK
National Provider Identifier
1174697379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH 2401-2401
- 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 LLC
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.
-
- Skilled Nursing Facility
- Enid, OK
- NPI 1376840892
National Provider Directory
National Provider Directory- Part of
- The Living Center LLC
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH 2401-2401 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200059330A | Medicaid | OK |
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.