Opco Cleveland, Ok, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OPCO CLEVELAND, OK, LLC

Doing business as

Cleveland Manor Nursing & Rehabilitaiton

Practice address

900 N Division St
Cleveland, OK 74020-1222

Phone

(918) 358-3135

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Isaac Dole

Title

President of Manager

Phone

(773) 645-9246

Specialties & licenses 1

Addresses

Other names 1

• Cleveland Manor Nursing & Rehabilitaiton Doing business as

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1255920104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "312-724-8950"
        },
        {
            "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": "OPCO CLEVELAND, OK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Manor Nursing & Rehabilitaiton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Manor Nursing & Rehabilitaiton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Cleveland, OK
• Providers in Cleveland, 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 Oct 29, 2024; 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.