Checotah Holdings, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

313M00000X Issued in OK

Legal business name

CHECOTAH HOLDINGS, LLC

Doing business as

Checotah Manor

Practice address

321 SE 2ND St
Checotah, OK 74426-4005

Phone

(918) 473-2251

NPI assigned

Feb 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah K Kelsoe

Title

Administrator

Phone

(918) 473-5598

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Checotah Manor Doing business as

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992778278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744260429",
            "telephone_number": "918-473-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 2ND ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744264005",
            "telephone_number": "918-473-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHECOTAH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELSOE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-473-5598",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OK",
            "license": "313M00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NH4602-4602",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Checotah Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benchmark Health Group LLC
• Billy Wayne Hill, O.D., P.C.
• Teresa Lynne Brown, APRN-CNP
• Tammy Carnes
• Cedar Holding, LLC (Cedar Manor)
• Checotah Medical Center, P.C.
• Checotah Nursing and Rehabilitation LLC
• Checotah Nursing Center LLC (Checotah Nursing Center)
• Choices for Life Foster Care, Inc.
• Christopher M Mitchell MD PLLC

• Pediatric Skilled Nursing Facility in Checotah, OK
• Providers in Checotah, OK by specialty
• Pediatric Skilled Nursing 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.