202 Haley Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

RC2404 Issued in OK

Legal business name

202 HALEY INC.

Doing business as

Veterans Acres Residential Care

Practice address

2911 N Grand St
Enid, OK 73701-1320

Phone

(580) 242-3811

NPI assigned

Dec 22, 2011

Last updated

Dec 22, 2011By 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

Mrs. Lisa Morris

Title

Administrator

Phone

(580) 242-3811

Specialties & licenses 1

Addresses

Other names 1

• Veterans Acres Residential Care Doing business as

Locations

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1457620221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 N GRAND ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011320",
            "telephone_number": "580-242-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N GRAND ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011320",
            "telephone_number": "580-242-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "202 HALEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-242-3811",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OK",
            "license": "RC2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Acres Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Enid, OK
• Providers in Enid, OK by specialty
• Adult Care Home Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.