SCG Durant Four Seasons LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0704-0704 Issued in OK

Legal business name

SCG DURANT FOUR SEASONS LLC

Practice address

1212 Four Seasons Dr
Durant, OK 74701-2430

Phone

(580) 924-5300

Fax

(580) 924-1302

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert Daniel Vaughan

Title

President

Phone

(813) 341-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Four Seasons Nursing Center of Durant Doing business as

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1215926928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARBELLA PLAZA DR.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197905",
            "telephone_number": "813-341-2700",
            "fax_number": "813-676-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 FOUR SEASONS DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012430",
            "telephone_number": "580-924-5300",
            "fax_number": "580-924-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCG DURANT FOUR SEASONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-341-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH0704-0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100769540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Nursing Center of Durant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Lean Samis
• Joshua Sanders, BHRS
• Ashlynn Savage, R.D.H.
• Steffany Lea Sawyers-Rambo, RPH
• Jamie Scales
• SCG Oak Ridge LLC
• Elyse Schein
• Megan Schreurs
• Shannon Sue Schutts
• Gregory Wayne Seay, DPH

• Skilled Nursing Facility in Durant, OK
• Providers in Durant, 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 Jan 22, 2010; 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.