Marlow Manor Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH6907-6907 Issued in OK

Legal business name

MARLOW MANOR NURSING HOME INC

Practice address

702 S 9TH St
Marlow, OK 73055-3226

Phone

(580) 658-5468

Fax

(580) 658-3669

NPI assigned

Oct 12, 2005

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 Doing business as

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1407844533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S 9TH ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730553226",
            "telephone_number": "580-658-5468",
            "fax_number": "580-658-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S 9TH ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730553226",
            "telephone_number": "580-658-5468",
            "fax_number": "580-658-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLOW MANOR NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-06-16",
        "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": "NH6907-6907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055070A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OK",
            "identifier": "000375490001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Living Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Leino
• Lepien Chiropractic Clinic
• Lepien Wellness Clinic, LLC
• Rachel Lovelady, MPT
• Marlow Family Healthcare Preston Heath Boyles Sole MBR
• Marlow Medicine
• Marlow Nursing & Rehabilitation LLC
• Marlow Nursing SNF Operations LLC
• Marlow Physicians Clinic
• Marlow Rehab Services, PLLC

• Nursing Facility/Intermediate Care Facility in Marlow, OK
• Providers in Marlow, 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 Jun 16, 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.