Wellington Hills Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH4604 Issued in OK

Legal business name

WELLINGTON HILLS NURSING CENTER INC

Doing business as

Wellington Hills Living and Rehabilitation Center

Practice address

607 Woodland St
Eufaula, OK 74432-3611

Phone

(918) 689-2508

Fax

(918) 689-2555

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Charles Francis Hardy III

Title

President

Phone

(918) 691-1051

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wellington Hills Living and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1457349631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WOODLAND ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323611",
            "telephone_number": "918-689-2508",
            "fax_number": "918-689-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WOODLAND ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323611",
            "telephone_number": "918-689-2508",
            "fax_number": "918-689-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON HILLS NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-691-1051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH4604",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777410B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000375316001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Hills Living and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Eufaula, OK
• Providers in Eufaula, 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 Nov 11, 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.