Opco MM McAlester, Ok, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OPCO MM MCALESTER, OK, LLC

Doing business as

Mitchell Manor Convalescent Home

Practice address

315 W Electric Ave
McAlester, OK 74501-3600

Phone

(918) 423-4661

NPI assigned

Jan 18, 2018

Last updated

Oct 29, 2024By 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

Isaac Dole

Title

Manager

Phone

(773) 645-9246

Specialties & licenses 1

Addresses

Other names 1

• Mitchell Manor Convalescent Home Doing business as

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1568970929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "773-645-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W ELECTRIC AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013600",
            "telephone_number": "918-423-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO MM MCALESTER, OK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Manor Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oklahoma Treatment Services LLC (Rightway Medical)
• Oklahomans for Independent Living
• Nelson C Onaro, D.O.
• Onsite Medical, PLLC
• Jamie C Ools, LPN
• Opperman L.L.C
• Kipp Anthony Opperman Sr., MBS, LPC
• Tamera Orr, BHRS
• Osu Center for Health Sciences (Osu-Aj Bradley Cross)
• Osu Center for Health Sciences (OSU-AJ WARREN CLINIC-McALESTER PEDIATRICS)

• Skilled Nursing Facility in McAlester, OK
• Providers in McAlester, 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 Oct 29, 2024; 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.