Eleven Pack Management Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5513-5513 Issued in OK

Legal business name

ELEVEN PACK MANAGEMENT CORP.

Practice address

12928 N May Ave
Oklahoma City, OK 73120-0817

Phone

(405) 748-6464

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Donna Kilgore

Title

Executive Director

Phone

(405) 748-6464

Specialties & licenses 1

Addresses

Other names 1

• Brighton Gardens of Oklahoma City Other name

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285835728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12928 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731200817",
            "telephone_number": "405-748-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12928 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731200817",
            "telephone_number": "405-748-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVEN PACK MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-748-6464"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL5513-5513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Gardens of Oklahoma City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darren Dean Elenburg, DPM
• Rosario P Elera
• Saul Elera
• Elevate Okc LLC
• Elevate Orthotics and Prosthetics LLC
• Gabriella Elfezouaty
• Nathan Donald Elfrink, MD
• Shaima Elgenaid, MD
• Mohamed Elgouhari
• Eli Reshef MD PC

• Assisted Living Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Assisted Living Facility in Oklahoma

• 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.