CPC-Sherwood Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH72257225 Issued in OK

Legal business name

CPC-SHERWOOD MANOR, INC.

Doing business as

Sherwood Manor Nursing Home

Practice address

2416 W 51St St
Tulsa, OK 74107-7700

Phone

(918) 446-4284

Fax

(918) 445-8811

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Bradley Pound

Title

Regional Director

Phone

(228) 861-7598

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sherwood Manor Nursing Home Doing business as

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1497723621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 W 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741077700",
            "telephone_number": "918-446-4284",
            "fax_number": "918-445-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 W 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741077700",
            "telephone_number": "918-446-4284",
            "fax_number": "918-445-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC-SHERWOOD MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "POUND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "228-861-7598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH72257225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherwood Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, 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 May 8, 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.