Oakwood Retirement Village Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2408-2408 Issued in OK

Legal business name

OAKWOOD RETIREMENT VILLAGE INC

Doing business as

Golden Oaks Village

Practice address

5801 N Oakwood Rd
Enid, OK 73703-9344

Phone

(580) 249-2600

NPI assigned

May 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Lillie

Title

Manager

Phone

(580) 249-2600

Specialties & licenses 3

Addresses

Other names 1

• Golden Oaks Village Doing business as

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811425606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 N OAKWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737039344",
            "telephone_number": "580-249-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 N OAKWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737039344",
            "telephone_number": "580-249-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD RETIREMENT VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "LILLIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-249-2600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL2403-2403",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH2408-2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Oaks Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Enid, OK
• Providers in Enid, 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 Jul 21, 2022; 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.