Organization Active NPI

Carnegie Nursing Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Carnegie, OK
National Provider Identifier
1679699425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0801-0801 Issued in OK
Legal business name
CARNEGIE NURSING HOME, INC.
Practice address
225 North Broadway
Carnegie, OK 73015-0099
Phone
(580) 654-1439
Fax
(580) 654-2637
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sherri Geanette HilburnNPI 1336641786
Title
Owner
Phone
(580) 654-1439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0801-0801 OK Primary

Addresses

Primary practice location

225 North Broadway
Carnegie, OK 73015-0099

Mailing address

225 North Broadway
P.O.Box 99
Carnegie, OK 73015-0099
Phone (580) 654-1439

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0875755Carnegie Nursing Home Inc225 N Broadway, Carnegie, OK 73015Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679699425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NORTH BROADWAY",
            "address_2": "P.O.BOX 99",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "730150099",
            "telephone_number": "580-654-1439",
            "fax_number": "580-654-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NORTH BROADWAY",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "730150099",
            "telephone_number": "580-654-1439",
            "fax_number": "580-654-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEGIE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILBURN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "GEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-654-1439"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH0801-0801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carnegie, OK

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.