Organization Active NPI

Greenbrier Nursing Home Number Two, Inc

  • Skilled Nursing Facility
  • Enid, OK
National Provider Identifier
1487654786
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2404-2404 Issued in OK
Legal business name
GREENBRIER NURSING HOME NUMBER TWO, INC
Doing business as
GREENBRIER NH #2, INC.
Practice address
1119 E Garriott Rd
Enid, OK 73701-6151
Phone
(580) 223-0121
Fax
(580) 233-3755
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Jim Thorpe
Title
Administrator
Phone
(580) 233-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2404-2404 OK Primary

Addresses

Primary practice location

1119 E Garriott Rd
Enid, OK 73701-6151

Mailing address

1119 E Garriott Rd
Enid, OK 73701-6151
Phone (580) 223-0121

Other identifiers 1

IdentifierTypeStateIssuer
100775230AMedicaidOK

Other names 1

  • GREENBRIER NH #2, INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1487654786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016151",
            "telephone_number": "580-223-0121",
            "fax_number": "580-233-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016151",
            "telephone_number": "580-223-0121",
            "fax_number": "580-233-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER NURSING HOME NUMBER TWO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-233-0121"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH2404-2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100775230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENBRIER NH #2, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.