The Suites at Elmbrook

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL1001-1001 Issued in OK

Legal business name

THE SUITES AT ELMBROOK

Practice address

1711 9TH Ave NW
Ardmore, OK 73401-2316

Phone

(580) 223-3100

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Coble

Title

Administrator

Phone

(580) 223-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568595379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 9TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 9TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012316",
            "telephone_number": "580-223-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUITES AT ELMBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-223-3100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL1001-1001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Ardmore, OK
• Providers in Ardmore, 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.