Organization Active NPI

Receiver Care LLC

Doing business as Northwest Nursing Center

  • Skilled Nursing Facility
  • Oklahoma City, OK
National Provider Identifier
1326343419
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH5524 Issued in OK
Legal business name
RECEIVER CARE LLC
Doing business as
Northwest Nursing Center
Practice address
2801 NW 61St St
Oklahoma City, OK 73112-7007
Phone
(405) 842-6601
Fax
(405) 810-8482
NPI assigned
Jan 20, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mr. David R. Payne
Title
Receiver
Phone
(405) 272-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH5524 OK Primary

Addresses

Primary practice location

2801 NW 61St St
Oklahoma City, OK 73112-7007

Mailing address

119 N Robinson Ave Ste 400
Oklahoma City, OK 73102-4613
Phone (405) 272-0511

Other identifiers 1

IdentifierTypeStateIssuer
200317210AMedicaidOK

Other names 1

  • Northwest Nursing Center Doing business as

National Provider Directory

National Provider Directory

Locations

2801 NW 61st St
Oklahoma City, OK 73112
Phone (405) 842-6601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1326343419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N ROBINSON AVE STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731024613",
            "telephone_number": "405-272-0511",
            "fax_number": "405-272-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 61ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127007",
            "telephone_number": "405-842-6601",
            "fax_number": "405-810-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECEIVER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "405-272-0511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200317210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.