Organization Active NPI

Sweet Town, LLC

  • Nursing Facility/Intermediate Care Facility
  • Cleveland, OK
National Provider Identifier
1194805556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH5901-5901 Issued in OK
Legal business name
SWEET TOWN, LLC
Practice address
900 N Division St
Cleveland, OK 74020-1222
Phone
(918) 358-3135
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melinda Martin
Title
Member
Phone
(918) 776-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH5901-5901 OK Primary

Addresses

Primary practice location

900 N Division St
Cleveland, OK 74020-1222

Mailing address

PO Box 9
Sallisaw, OK 74955-0009
Phone (918) 776-0033

Other names 1

  • Cleveland Manor Nursing Home Doing business as

National Provider Directory

National Provider Directory

Locations

900 N Division St
Cleveland, OK 74020
Phone (918) 358-3135

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194805556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550009",
            "telephone_number": "918-776-0033",
            "fax_number": "918-776-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N DIVISION ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740201222",
            "telephone_number": "918-358-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-776-0033"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH5901-5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.