Seminole Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH6704-6704 Issued in OK

Legal business name

SEMINOLE NURSING HOME INC

Practice address

1705 Boren Blvd
Seminole, OK 74868-2725

Phone

(405) 382-1270

Fax

(405) 382-3199

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Seminole Pioneer Nursing Home Doing business as

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James B Krablin, MD

  • Internal Medicine Physician
  • Lexington, OK
  • NPI 1679509657
  NPD (past)
• Robert Oliver Morton, MD

  • Psychiatry Physician
  • Ada, OK
  • NPI 1336222504
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004720A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OK",
            "identifier": "000375350001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Pioneer Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seminole Hma LLC
• Seminole Hma, LLC
• Seminole Hma, LLC
• Seminole HMPN, LLC
• Seminole Medical Clinic
• Seminole Public Schools
• Seminole Vision Care Inc
• Shawnee Medical Center Clinic, Inc.
• Signature Home Health Services, Inc.
• Robert John Silvy II, CRNA

• All providers in Seminole, OK
• Nursing Facility/Intermediate Care Facility in Oklahoma

• 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.