The Atoka Group, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0302-0302 Issued in OK

Legal business name

THE ATOKA GROUP, LLC

Doing business as

ATOKA COLONIAL MANOR NURSING CENTER

Practice address

1500 S Virginia Ave
Atoka, OK 74525-3246

Phone

(580) 889-2500

Fax

(580) 889-2888

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Carla Power

Title

Cfo

Phone

(903) 534-8667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ATOKA COLONIAL MANOR NURSING CENTER Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942366810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RICKETY LN",
            "address_2": "STE 208",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031702",
            "telephone_number": "903-534-8667",
            "fax_number": "903-509-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253246",
            "telephone_number": "580-889-2500",
            "fax_number": "580-889-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATOKA GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-534-8667"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH0302-0302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20038500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATOKA COLONIAL MANOR NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Atoka, OK
• Providers in Atoka, OK by specialty
• Nursing Facility/Intermediate Care Facility 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.