Care Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH4103-4103 Issued in OK

Legal business name

CARE NURSING HOME INC.

Doing business as

Parkland Manor

Practice address

6308 Nbu
Prague, OK 74864-2523

Phone

(405) 567-2201

Fax

(405) 567-2395

NPI assigned

Jul 15, 2005

Last updated

Aug 22, 2020By 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

Ms. Patricia Connery

Title

Secretary/Treasurer

Phone

(405) 567-2201

Specialties & licenses 1

Addresses

Other names 1

• Parkland Manor Doing business as

Tax ID family

Care Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parkland Manor Living Center LLC

  dba Parkland Manor Living Center

  • Skilled Nursing Facility
  • Prague, OK
  • NPI 1164422416
  NPD tax ID

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376542902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W. PARKLAND AVE.",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748649615",
            "telephone_number": "405-567-2201",
            "fax_number": "405-567-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 NBU",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748642523",
            "telephone_number": "405-567-2201",
            "fax_number": "405-567-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNERY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "405-567-2201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4103-4103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Faye Annis, M.S., LPC
• Raven Wind Ayers
• Bristow Endeavor Healthcare, LLC (Prague Healthcare Center)
• Chasitee Qwinette Burdine
• Abigail Jean Burris
• Charles Albert Cashman, DDS
• Central Ok Family Med Ctr
• Central Oklahoma Family Medical Center
• Larry Walter Church
• Jennifer Cook

• Skilled Nursing Facility in Prague, OK
• Providers in Prague, 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 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.