Organization Active NPI

Crane Young and Associates Inc

  • Nursing Facility/Intermediate Care Facility
  • Oklahoma City, OK
National Provider Identifier
1457397325
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH5522-5522 Issued in OK
Legal business name
CRANE YOUNG AND ASSOCIATES INC
Doing business as
HERITAGE MANOR
Practice address
3804 N Barr Ave
Oklahoma City, OK 73122-2410
Phone
(405) 789-7945
Fax
(405) 787-4061
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Ms. Judy M Crane
Title
President
Phone
(405) 942-3884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH5522-5522 OK Primary

Addresses

Primary practice location

3804 N Barr Ave
Oklahoma City, OK 73122-2410

Mailing address

3714 N Portland Ave
Oklahoma City, OK 73112-2924
Phone (405) 942-3884

Other identifiers 1

IdentifierTypeStateIssuer
200055480AMedicaidOK

Other names 1

  • HERITAGE MANOR Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1457397325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122924",
            "telephone_number": "405-942-3884",
            "fax_number": "405-946-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 N BARR AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731222410",
            "telephone_number": "405-789-7945",
            "fax_number": "405-787-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANE YOUNG AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-942-3884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH5522-5522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE MANOR",
            "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 Aug 17, 2009; 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.