Organization Active NPI

United Senior Properties of Shawnee, LLC

Doing business as Avonlea Cottage of Shawnee

  • Assisted Living Facility
  • Shawnee, OK
National Provider Identifier
1740608660
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6302 Issued in OK
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.