Organization Active NPI

Blevins Retirement & Care Center L L C

Doing business as Blevins Retirement & Care Center

  • Nursing Facility/Intermediate Care Facility
  • McAlester, OK
National Provider Identifier
1902946346
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
100778160A Issued in OK
Legal business name
BLEVINS RETIREMENT & CARE CENTER L L C
Doing business as
Blevins Retirement & Care Center
Practice address
1220 E Electric Ave
McAlester, OK 74501-3832
Phone
(918) 423-9095
Fax
(918) 423-1317
NPI assigned
Feb 7, 2007
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Justin Price
Title
Member
Phone
(918) 967-9285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100778160A OK Primary

Addresses

Primary practice location

1220 E Electric Ave
McAlester, OK 74501-3832

Mailing address

1220 E Electric Ave
McAlester, OK 74501-3832
Phone (918) 423-9095

Other identifiers 1

IdentifierTypeStateIssuer
100778160AMedicaidOK

Other names 1

  • Blevins Retirement & Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1902946346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E ELECTRIC AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013832",
            "telephone_number": "918-423-9095",
            "fax_number": "918-423-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E ELECTRIC AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013832",
            "telephone_number": "918-423-9095",
            "fax_number": "918-423-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEVINS RETIREMENT & CARE CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-967-9285"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "100778160A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100778160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blevins Retirement & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.