Organization Active NPI

Duncan Manor Inc

Doing business as Duncan Care Center

  • Nursing Facility/Intermediate Care Facility
  • Duncan, OK
National Provider Identifier
1669460507
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH6902-6902 Issued in OK
Legal business name
DUNCAN MANOR INC
Doing business as
Duncan Care Center
Practice address
700 Palm Dr
Duncan, OK 73533-3324
Phone
(580) 522-9000
Fax
(580) 255-0565
NPI assigned
Oct 13, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Janice Pita
Title
Insurance/Medicare
Phone
(580) 622-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH6902-6902 OK Primary

Addresses

Primary practice location

700 Palm Dr
Duncan, OK 73533-3324

Mailing address

700 Palm Dr
Duncan, OK 73533-3324
Phone (580) 522-9000

Other identifiers 2

IdentifierTypeStateIssuer
200059960AMedicaidOK
000375484001OtherOKBLUE CROSS BLUE SHIELD OK

Other names 1

  • Duncan Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

700 Palm Dr
Duncan, OK 73533
Phone (580) 255-9000

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669460507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PALM DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735333324",
            "telephone_number": "580-522-9000",
            "fax_number": "580-255-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PALM DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735333324",
            "telephone_number": "580-522-9000",
            "fax_number": "580-255-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6902-6902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059960A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OK",
            "identifier": "000375484001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duncan Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.