Lindsay Manor Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH25022502 Issued in OK

Legal business name

LINDSAY MANOR NURSING HOME INC

Doing business as

Legacy Living Center,

Practice address

1103 W Cherokee St
Lindsay, OK 73052-5105

Phone

(405) 756-4334

Fax

(405) 756-3873

NPI assigned

Oct 3, 2005

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Legacy Living Center, Doing business as

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1669469995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "73052",
            "telephone_number": "405-756-4334",
            "fax_number": "405-756-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525105",
            "telephone_number": "405-756-4334",
            "fax_number": "405-756-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY MANOR NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-05-22",
        "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": "NH25022502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20045030A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OK",
            "identifier": "000375206002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Living Center,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Kozlowski, DPT
• Malori Lawrence, APRN
• Lindsay Chiropractic
• Lindsay Family Dentistry
• Lindsay Manor
• Lindsay Manor SNF Operations LLC (Elevate Nursing and Rehabilitation Center)
• Lindsay Medical Plaza LLC
• Lindsay Municipal Hospital
• Lindsay Nursing & Rehabilitation LLC (Lindsay Nursing & Rehab)
• Lindsay Public Schools

• Nursing Facility/Intermediate Care Facility in Lindsay, OK
• Providers in Lindsay, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.