Enid Senior Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH 2410-2410 Issued in OK

Legal business name

ENID SENIOR CARE LLC

Practice address

410 N 30TH St
Enid, OK 73701-3774

Phone

(580) 237-1973

NPI assigned

Nov 20, 2006

Last updated

Sep 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ENID SENIOR CARE LLCAs reported in NPPES

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

Authorized official

Name

Micheline Nader

Title

Owner

Phone

(918) 786-2276

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Enid Senior Care LLC

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1184798225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013774",
            "telephone_number": "580-237-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013774",
            "telephone_number": "580-237-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID SENIOR CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENID SENIOR CARE 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": "OWNER",
        "authorized_official_telephone_number": "918-786-2276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH 2410-2410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enid Pain and Spine
• Enid Pathology Consultants Inc
• Enid Pharmacy Management Inc (Medic Pharmacy)
• Enid Public School
• Enid Radiology PLLC
• Enid Surgical Anesthesia LLC
• Enid Urology Associates, Inc
• Enid Urology Associates, Inc.
• Enid Vision Center PLLC
• Enid Womens Healthcare Associates

• Skilled Nursing Facility in Enid, OK
• Providers in Enid, 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 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.