COLONIAL PARK HEALTHCARE CENTER LLC (NPI# 1053617761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053617761 |
| Entity Type | Organization |
| Organization Name | COLONIAL PARK HEALTHCARE CENTER LLC |
| Other Organization Name | COLONIAL PARK HEALTHCARE CENTER |
| Practice Address |
600 W Frontage Rd Okemah OK 74859-6433 |
| Mailing Address |
131 N Broadway Ave Ada OK 74820-5003 |
| Practice Telephone | 9186231936 |
| Practice Fax Number | 9186232287 |
| Mailing Telephone | 5804360950 |
| Mailing Fax Number | 5804360953 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | MR. BART TAYLOR REED (MANAGER) |
| Authorized Official Telephone | 5804360950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NH5405-5405 | OK | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH5405-5405 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| COLONIAL PARK HEALTHCARE CENTER | Doing Business As Name - Organization |
| Street Address |
600 W FRONTAGE RD |
| City | OKEMAH |
| State | OK |
| Zip Code | 74859-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467750976 | Colonial Park Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 600 W Frontage Rd, Okemah, OK 74859-6433 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321940 | Michelle Renee Scott | Social Worker | 209 West Broadway, Okemah, OK 74859 | 2007-05-02 |
| 1790905552 | Deirdre Ann Rieman | Speech-Language Pathologist | 600 Frontage Rd, Okemah, OK 74859 | 2007-04-26 |
| 1528281060 | Creoks Mental Health | Case Management | 209 W. Broadway, Okemah, OK 74859 | 2007-04-11 |
| 1588748776 | Brett Alan Wessel | Chiropractor | 1003 W Broadway, Okemah, OK 74859 | 2006-10-24 |
| 1982796173 | James L. Lambert | Optometrist | 309 North 14th, Okemah, OK 74859 | 2006-09-28 |
| 1700890530 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1800 E Coplin St, Okemah, OK 74859 | 2006-07-28 |
| 1184664898 | Peak Medical Oklahoma No. 13, Inc. | Skilled Nursing Facility | 600 West Frontage Rd, Okemah, OK 74859 | 2006-06-08 |
| 1366593923 | Creek Nation Hospital & Clinics | Clinic/Center | 1800 E Coplin St, Okemah, OK 74859 | 2007-01-12 |
| 1003990185 | Okemah Chiropractic Clinic Inc PC | Chiropractor | 1003 W Broadway, Okemah, OK 74859 | 2006-10-25 |
| 1821269168 | Creek Nation Hospital & Clinics | Medicare Defined Swing Bed Unit | 309 North 14th Street, Okemah, OK 74859-2028 | 2008-03-14 |
| Find all providers in zip 74859 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033586664 | Colonial Park Manor, LLC | Skilled Nursing Facility | 600 W. Frontage Road, Okemah, OK 74859-6433 | 2015-08-31 |
| 1184664898 | Peak Medical Oklahoma No. 13, Inc. | Skilled Nursing Facility | 600 West Frontage Rd, Okemah, OK 74859 | 2006-06-08 |
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|---|---|---|---|---|
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| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1376993071 | Henryetta Community Skilled Healthcare and Rehab, LLC | Skilled Nursing Facility | 212 N Antes Ave, Henryetta, OK 74437-7331 | 2016-06-14 |
| 1215382734 | Ok4 Ft. Gibson Opco LLC | Skilled Nursing Facility | 205 E Poplar St, Fort Gibson, OK 74434-8272 | 2016-05-03 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1255702791 | Tidwell Family Healthcare, LLC | Skilled Nursing Facility | 1209 W Main St, Quinton, OK 74561 | 2015-10-09 |
| 1770963092 | Binger Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 516 North Broadway, Binger, OK 73009-5002 | 2015-06-02 |
| 1467843177 | Summers Health Services, LLC | Skilled Nursing Facility | 119 N. 6th St, Okeene, OK 73763 | 2015-02-17 |
| 1639560337 | Southwest Ltc Temple LLC | Skilled Nursing Facility | 100 West Green Ave, Temple, OK 73568 | 2015-02-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.