Organization Active NPI

Osceola Healthcare

  • Skilled Nursing Facility
  • Osceola, AR
National Provider Identifier
1649595620
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
544 Issued in AR
Legal business name
OSCEOLA HEALTHCARE
Practice address
287 S Country Club Rd
Osceola, AR 72370-6047
Phone
(870) 563-3201
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
David Threkeld
Title
Adm.
Phone
(870) 563-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 544 AR Primary

Addresses

Primary practice location

287 S Country Club Rd
Osceola, AR 72370-6047

Mailing address

287 So. Country Club Road
Osceola, AR 72370-6047
Phone (870) 563-3201

Other identifiers 1

IdentifierTypeStateIssuer
180796311MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1649595620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 SO. COUNTRY CLUB ROAD",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723706047",
            "telephone_number": "870-563-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 S COUNTRY CLUB RD",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723706047",
            "telephone_number": "870-563-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "THREKELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "870-563-3201"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180796311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.