Barnsdall Health Care, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH5701-5701 Issued in OK

Legal business name

BARNSDALL HEALTH CARE, LLC

Practice address

411 S 4TH
Barnsdall, OK 74002-0000

Phone

(918) 847-2572

Fax

(918) 847-2698

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Janet Hardin

Title

Owner Administrator

Phone

(918) 847-2572

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Charles Shane, DC

  • Chiropractor
  • Bartlesville, OK
  • NPI 1164599429
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1962509331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "BARNSDALL",
            "state": "OK",
            "postal_code": "740020499",
            "telephone_number": "918-847-2572",
            "fax_number": "918-847-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S 4TH",
            "city": "BARNSDALL",
            "state": "OK",
            "postal_code": "740020000",
            "telephone_number": "918-847-2572",
            "fax_number": "918-847-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNSDALL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "918-847-2572"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH5701-5701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100774040C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100774040A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS TAX ID",
            "identifier": "730789665",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savanna Blu Aflleje
• Chelsea Janice-Marie Allen
• Kelly Ray Anthony, E.M.T.
• Trina Austin
• Michael Steven Backora
• Barnsdall School
• Mollie Lorane Barto
• Bigheart, LLC
• Melissa Joann Bouchard
• Ely James Burgess

• All providers in Barnsdall, OK
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.