NW 61St Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH5524-5524 Issued in OK

Legal business name

NW 61ST NURSING, LLC

Practice address

2801 NW 61St St
Oklahoma City, OK 73112-7007

Phone

(405) 842-6601

Fax

(405) 810-8482

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Boyd P Gentry

Title

President & Ceo

Phone

(678) 869-5116

Specialties & licenses 1

Addresses

Other names 1

• Northwest Nursing Center Doing business as

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1508103763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 61ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127007",
            "telephone_number": "405-842-6601",
            "fax_number": "405-810-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 61ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127007",
            "telephone_number": "405-842-6601",
            "fax_number": "405-810-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW 61ST NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "678-869-5116"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5524-5524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muriel Nutt
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• Erik Jon Nuveen, M.D., D.M.D.
• NW Home Services Company
• Nkechi Nwabugwu
• Ifediba Adoulphous Nwachukwu, MD
• Leonard Nwagwu
• Paul Uzoma Nwaiwu, MHR

• Skilled Nursing Facility in Oklahoma City, OK
• Providers in Oklahoma City, 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 22, 2013; 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.