Organization Active NPI

Wood Manor, Inc.

  • Alzheimer Center (Dementia Center)
  • Claremore, OK
National Provider Identifier
1992059398
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
NH6609-6609 Issued in OK
Legal business name
WOOD MANOR, INC.
Practice address
2800 N. Hickory
Claremore, OK 74017
Phone
(918) 283-4948
Fax
(918) 283-4508
NPI assigned
Nov 7, 2012
Organization subpart
Yes
Parent organization
WOOD MANOR, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mr. Matthew Snyder
Title
Administrator
Phone
(918) 283-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X NH6609-6609 OK Primary

Addresses

Primary practice location

2800 N. Hickory
Claremore, OK 74017

Mailing address

2700 North Hiickory Street
P.O. Box 1204
Claremore, OK 74018
Phone (918) 283-4948

Other names 1

  • Autumn Wood Doing business as

National Provider Directory

National Provider Directory
Part of
Wood Manor Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1992059398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NORTH HIICKORY STREET",
            "address_2": "P.O. BOX 1204",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74018",
            "telephone_number": "918-283-4948",
            "fax_number": "918-283-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N. HICKORY",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-283-4948",
            "fax_number": "918-283-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD MANOR, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOOD MANOR, INC.",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-283-4948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OK",
            "license": "NH6609-6609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Wood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.