Dow Residential Care Facility Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC6102-6102 Issued in OK

Legal business name

DOW RESIDENTIAL CARE FACILITY INC

Practice address

1515 Pennsylvania Ave
Hartshorne, OK 74547-3841

Phone

(918) 297-2485

Fax

(918) 297-2959

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley McBee

Title

President-Director

Phone

(918) 297-2485

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Virginia Mahan

  • Case Manager/Care Coordinator
  • Hartshorne, OK
  • NPI 1205119526
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497964639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PENNSYLVANIA AVE",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745473641",
            "telephone_number": "918-297-2485",
            "fax_number": "918-297-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PENNSYLVANIA AVE",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745473841",
            "telephone_number": "918-297-2485",
            "fax_number": "918-297-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOW RESIDENTIAL CARE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBEE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT-DIRECTOR",
        "authorized_official_telephone_number": "918-297-2485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "RC6102-6102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hartshorne Health Services, LLC
• Hartshorne Public School

• Assisted Living Facility in Hartshorne, OK
• Providers in Hartshorne, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.