PSG Western Hills, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PSG WESTERN HILLS, LLC

Practice address

5396 NW Cache Rd
Lawton, OK 73505-3313

Phone

(580) 342-6228

Fax

(580) 342-5015

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Lucretia Lee Parkey

Title

Excutive Director

Phone

(580) 342-6228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669411575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053313",
            "telephone_number": "580-342-6228",
            "fax_number": "580-342-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5396 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053313",
            "telephone_number": "580-342-6228",
            "fax_number": "580-342-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG WESTERN HILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKEY",
        "authorized_official_first_name": "LUCRETIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-342-6228"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.