Active NPI
United Senior Properties of Shawnee, LLC
Doing business as Avonlea Cottage of Shawnee
- Assisted Living Facility
- Shawnee, OK
National Provider Identifier
1740608660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL6302
- Legal business name
- UNITED SENIOR PROPERTIES OF SHAWNEE, LLC
- Doing business as
- Avonlea Cottage of Shawnee
- Practice address
- 789 E Country Grove Dr
Shawnee, OK 74804-1404 - Phone
- (405) 273-3323
- NPI assigned
- Mar 29, 2014
- Last updated
- Mar 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Thoma
- Title
- Member
- Phone
- (913) 492-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL6302 | OK | Primary |
Addresses
Primary practice location
789 E Country Grove Dr
Shawnee, OK 74804-1404
Mailing address
789 E Country Grove Dr
Shawnee, OK 74804-1404
Phone (405) 273-3323
Other names 1
- Avonlea Cottage of Shawnee
National Provider Directory
National Provider DirectoryLocations
789 E Country Grove Dr
Shawnee, OK 74804
Phone (405) 273-3323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396051200000",
"number": "1740608660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 E COUNTRY GROVE DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041404",
"telephone_number": "405-273-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 E COUNTRY GROVE DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041404",
"telephone_number": "405-273-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED SENIOR PROPERTIES OF SHAWNEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A",
"authorized_official_last_name": "THOMA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "913-492-7800"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OK",
"license": "AL6302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avonlea Cottage of Shawnee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.