Organization Active NPI

Seminole Nursing Home Inc

Doing business as Seminole Pioneer Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Seminole, OK
National Provider Identifier
1578550331
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH6704-6704 Issued in OK
Legal business name
SEMINOLE NURSING HOME INC
Doing business as
Seminole Pioneer Nursing Home
Practice address
1705 Boren Blvd
Seminole, OK 74868-2725
Phone
(405) 382-1270
Fax
(405) 382-3199
NPI assigned
Oct 5, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Janice Pita
Title
Insurance/Medicare
Phone
(580) 622-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH6704-6704 OK Primary

Addresses

Primary practice location

1705 Boren Blvd
Seminole, OK 74868-2725

Mailing address

1705 Boren Blvd
Seminole, OK 74868-2725
Phone (405) 382-1270

Other names 1

  • Seminole Pioneer Nursing Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0656788Seminole Pioneer Nursing Home1705 Boren Blvd, Seminole, OK 74868Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1578550331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BOREN BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748682725",
            "telephone_number": "405-382-1270",
            "fax_number": "405-382-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BOREN BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748682725",
            "telephone_number": "405-382-1270",
            "fax_number": "405-382-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6704-6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Pioneer Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.