Active NPI
Family Care Centers of Oklahoma, LLC
Doing business as Family Care Center of Kingston
- Skilled Nursing Facility
- Kingston, OK
National Provider Identifier
1598856288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH58035803
- Legal business name
- FAMILY CARE CENTERS OF OKLAHOMA, LLC
- Doing business as
- Family Care Center of Kingston
- Practice address
- 701 Hwy 32
HC 71
Kingston, OK 73439-9701 - Phone
- (580) 564-2216
- Fax
- (580) 564-2298
- NPI assigned
- Sep 27, 2006
- Last updated
- Jun 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Drenda L. Cox, RN
- Title
- Managing Partner/Treasurer
- Phone
- (918) 397-0007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH58035803 | OK | Primary |
Addresses
Primary practice location
701 Hwy 32
HC 71
Kingston, OK 73439-9701
Mailing address
HC 71 Box 83
Kingston, OK 73439-9701
Phone (580) 546-2216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100847060A | Medicaid | OK |
Other names 1
- Family Care Center of Kingston
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0471962 | Family Care Center of Kingston | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
701 Highway 32
#71
Kingston, OK 73439
Phone (580) 564-2216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277078400000",
"number": "1598856288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 71 BOX 83",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734399701",
"telephone_number": "580-546-2216",
"fax_number": "580-564-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HWY 32",
"address_2": "HC 71",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734399701",
"telephone_number": "580-564-2216",
"fax_number": "580-564-2298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE CENTERS OF OKLAHOMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2010-06-21",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "DRENDA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGING PARTNER/TREASURER",
"authorized_official_telephone_number": "918-397-0007",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH58035803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100847060A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Care Center of Kingston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingston, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.