Family Care Centers of Oklahoma, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH5803-5803 Issued in OK

Legal business name

FAMILY CARE CENTERS OF OKLAHOMA, LLC

Practice address

12 E Conner
Fairland, OK 74343

Phone

(918) 676-3685

Fax

(918) 676-3008

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sharie Folmar, LNFA

Title

President

Phone

(361) 852-9521

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Family Care Center of Fairland, LLC Doing business as

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1497872717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72250",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784722250",
            "telephone_number": "361-852-9521",
            "fax_number": "361-855-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E CONNER",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "74343",
            "telephone_number": "918-676-3685",
            "fax_number": "918-676-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTERS OF OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "FOLMAR",
        "authorized_official_first_name": "SHARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-852-9521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH5803-5803",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5803-5803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37E258",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "37-5515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center of Fairland, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Awenasa Management LLC
• Kaydence Barrett, PRSS
• Sherri Dirkswager
• Mariah Christine Dunkel, COTA/L5
• Fairland Public Schools
• Global Fairland LLC
• Tori L Harris, LCSW
• Healthcare and Rehab of Fairland, LLC
• Andrea Gail Heilig
• Jonathan Jacobs, LPC, LADC-C

• Nursing Facility/Intermediate Care Facility in Fairland, OK
• Providers in Fairland, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

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