Organization Active NPI

MH SNF Ops LLC

  • Skilled Nursing Facility
  • Idabel, OK
National Provider Identifier
1568392918
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.