Organization 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
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH58035803 Issued in OK
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100847060AMedicaidOK

Other names 1

  • Family Care Center of Kingston 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
37D0471962Family Care Center of Kingston701 Hwy 32, Kingston, OK 73439Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.