Organization Active NPI

Little Bird Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Weatherford, OK
National Provider Identifier
1962405118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
3700379 Issued in OK
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3700379MedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.