Walnut Grove Living Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WALNUT GROVE LIVING CENTER

Practice address

1001 S George Nigh Expwy
McAlester, OK 74502

Phone

(918) 423-7373

Fax

(918) 423-7156

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Peggy Waynetta Bennett

Title

Administrator

Phone

(918) 423-7373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790747798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3303",
            "address_2": "1001 S GEORGE NIGH EXPWY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74502",
            "telephone_number": "918-423-7373",
            "fax_number": "918-423-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE NIGH EXPWY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74502",
            "telephone_number": "918-423-7373",
            "fax_number": "918-423-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT GROVE LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "WAYNETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-423-7373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Walker, M.S.
• Iris Jenell Walla, R.N.
• Jennifer J Wallace, COTA/L
• Lauren Wallace, PA-C
• Donald Waller Jr., CMT
• Walnut Grove Living Center, Inc.
• Walnut Healthcare, LLC
• Brenda L Walters Polansky, MED/LPC
• Katie Walters, BHRS
• Valarie Frances Walton

• Skilled Nursing Facility in McAlester, OK
• Providers in McAlester, 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 Aug 22, 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.