Locust Grove Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LOCUST GROVE CARE CENTER LLC

Doing business as

Parkhill South Nursing

Practice address

117 Wyandotte & Ross
Locust Grove, OK 74352

Phone

(918) 479-5784

Fax

(918) 479-6254

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Taylor

Title

VP in Charge of Reimbursement

Phone

(918) 775-6200

Specialties & licenses 1

Addresses

Other names 1

• Parkhill South Nursing Doing business as

Locations

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619964681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ELM ST",
            "address_2": "SUITE A",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554633",
            "telephone_number": "918-775-6200",
            "fax_number": "918-775-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WYANDOTTE & ROSS",
            "city": "LOCUST GROVE",
            "state": "OK",
            "postal_code": "74352",
            "telephone_number": "918-479-5784",
            "fax_number": "918-479-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST GROVE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "VP IN CHARGE OF REIMBURSEMENT",
        "authorized_official_telephone_number": "918-775-6200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkhill South Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Locust Grove, OK
• Providers in Locust Grove, 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 Aug 22, 2020; 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.