Professional Provider Care, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PROFESSIONAL PROVIDER CARE, INC.

Practice address

103 N Walnut St
Sallisaw, OK 74955-4438

Phone

(918) 776-9400

Fax

(918) 776-9200

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Darren F Girdner

Title

Ceo

Phone

(918) 776-9400

Specialties & licenses 1

Addresses

Other names 1

• Professional Provider Care Doing business as

Locations

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831160134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N WALNUT ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554438",
            "telephone_number": "918-776-9400",
            "fax_number": "918-776-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N WALNUT ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554438",
            "telephone_number": "918-776-9400",
            "fax_number": "918-776-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRDNER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-776-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Provider Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Sallisaw, OK
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• Nursing Care Agency 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.