Silvercrest Manor Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0805-0805 Issued in OK

Legal business name

SILVERCREST MANOR NURSING HOME INC

Practice address

301 W Washington Ave
Anadarko, OK 73005-2442

Phone

(405) 247-3346

Fax

(405) 247-5635

NPI assigned

Oct 12, 2005

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Pita

Title

Insurance/Medicare

Phone

(580) 622-6300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Legacy Living Centers Other name

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1245228238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W WASHINGTON AVE",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730052442",
            "telephone_number": "405-247-3346",
            "fax_number": "405-247-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W WASHINGTON AVE",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730052442",
            "telephone_number": "405-247-3346",
            "fax_number": "405-247-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERCREST MANOR NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH0805-0805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OK",
            "identifier": "000375477001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Living Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Satepauhoodle
• Clara L Schoonover
• Maxine Seckletstewa
• Derith Secondine
• Sheldon Shapiro, DDS, PC
• Seth Regan Sitton, DMD
• Robert D Slavin, OD, INC.
• Kamri Smith
• Myrna Smith
• Sarah Elise Smith, MD

• Nursing Facility/Intermediate Care Facility in Anadarko, OK
• Providers in Anadarko, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.