Active NPI
Little Bird Nursing Home
- Nursing Facility/Intermediate Care Facility
- Weatherford, OK
National Provider Identifier
1962405118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 3700379
- Legal business name
- LITTLE BIRD NURSING HOME
- Practice address
- 801 N Washington St
Weatherford, OK 73096-4032 - Phone
- (580) 772-3993
- NPI assigned
- May 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorene Bishop
- Title
- Administrator/Owner
- Phone
- (580) 772-3993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 3700379 | OK | Primary |
Addresses
Primary practice location
801 N Washington St
Weatherford, OK 73096-4032
Mailing address
PO Box 608
Weatherford, OK 73096-0608
Phone (580) 772-3993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3700379 | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962405118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730960608",
"telephone_number": "580-772-3993",
"fax_number": "580-774-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N WASHINGTON ST",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730964032",
"telephone_number": "580-772-3993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE BIRD NURSING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BISHOP",
"authorized_official_first_name": "LORENE",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "580-772-3993",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OK",
"license": "3700379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3700379",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, OK
Sources for this page
- 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.