Active NPI
MH SNF Ops LLC
- Skilled Nursing Facility
- Idabel, OK
National Provider Identifier
1568392918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MH SNF OPS LLC
- Practice address
- 1305 SE Adams St
Idabel, OK 74745-5240 - Phone
- (580) 286-1065
- Fax
- (580) 286-3926
- NPI assigned
- May 19, 2026
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Suzette Baucom
- Title
- Treasurer
- Phone
- (479) 312-8280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1305 SE Adams St
Idabel, OK 74745-5240
Mailing address
1305 SE Adams St
Idabel, OK 74745-5240
Phone (479) 312-8280
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1568392918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 SE ADAMS ST",
"city": "IDABEL",
"state": "OK",
"postal_code": "747455240",
"telephone_number": "479-312-8280",
"fax_number": "580-286-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 SE ADAMS ST",
"city": "IDABEL",
"state": "OK",
"postal_code": "747455240",
"telephone_number": "580-286-1065",
"fax_number": "580-286-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MH SNF OPS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "BAUCOM",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "SUZETTE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "479-312-8280"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.