Pauls Valley Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2504-2504 Issued in OK

Legal business name

PAULS VALLEY CARE CENTER LLC

Doing business as

Pauls Valley Care Center

Practice address

1413 S Chickasaw St
Pauls Valley, OK 73075-6415

Phone

(405) 238-6411

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Bart Reed

Title

Manager

Phone

(580) 436-0950

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pauls Valley Care Center Doing business as

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1740412998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S CHICKASAW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756415",
            "telephone_number": "405-238-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S CHICKASAW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756415",
            "telephone_number": "405-238-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS VALLEY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-436-0950"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH2504-2504",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH2504-2504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100778860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pauls Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pauls Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Newton
• Kahn Lee Nirschl, PT, DPT, OCS
• Zaria Nowden
• Karri Odell
• Nikki Michelle Patton
• Pauls Valley Chiropractic
• Pauls Valley Eye Clinic PLLC
• Pauls Valley Family Healthcare Aprn FNP-BC LLC
• Pauls Valley General Hospital
• Pauls Valley General Hospital (Pauls Valley General Hospital Home Services)

• Skilled Nursing Facility in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.