Active NPI
Osceola Healthcare
- Skilled Nursing Facility
- Osceola, AR
National Provider Identifier
1649595620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 544
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180796311 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI 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.