Homestead Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC1811-1811 Issued in OK

Legal business name

HOMESTEAD RESIDENTIAL CARE

Practice address

35284 S 4440 Rd
Vinita, OK 74301-7079

Phone

(918) 527-7462

NPI assigned

May 9, 2007

Last updated

Nov 20, 2009By 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

Mrs. Donna Kelley

Title

Member

Phone

(918) 782-9969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1912111253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35284 S 4440 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017079",
            "telephone_number": "918-527-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-782-9969",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "RC1811-1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Vinita, OK
• Providers in Vinita, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.