Conhold of Ponca, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CONHOLD OF PONCA, LLC

Practice address

2024 Turner Road
Ponca City, OK 74601

Phone

(580) 765-3364

Fax

(580) 765-3376

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. James Franklin Sullivan Jr., J.D.

Title

Manager/Owner

Phone

(918) 774-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Conhold of Ponca LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Conhold of Ponca LLC

  • Skilled Nursing Facility
  • Ponca City, OK
  • NPI 1124326434
  NPD tax ID

Locations

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1871892109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EAST CHICKASAW",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550767",
            "telephone_number": "918-774-9696",
            "fax_number": "918-774-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 TURNER ROAD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-765-3364",
            "fax_number": "580-765-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONHOLD OF PONCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "918-774-9696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "NH3607-3607",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaleen Fay Colton
• Jennifer Lynn Combest
• Lena Kathryn Combs
• Complete Vision Care, PLLC
• Conhold of Ponca LLC
• Kristy Connell
• Reggie Cooley, DDS
• Paige Marie Cordova, LPN
• Andrew Coufal, OD
• Geoffrey H. Cowan, LICENSED COUNSELOR

• Skilled Nursing Facility in Ponca City, OK
• Providers in Ponca City, 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 Mar 25, 2011; 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.