LIGHTNING CREEK INVESTMENT GROUP INC (NPI# 1346385689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346385689 |
| Entity Type | Organization |
| Organization Name | LIGHTNING CREEK INVESTMENT GROUP INC |
| Other Organization Name | MOORELAND HERITAGE MANOR |
| Practice Address |
402 Se 6th St Mooreland OK 73852-9064 |
| Mailing Address |
Po Box 468 Nowata OK 74048-0468 |
| Practice Telephone | 9182733649 |
| Practice Fax Number | 9182735652 |
| Mailing Telephone | 9182733649 |
| Mailing Fax Number | 9182735652 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | MR. DOUGLAS G. MADDUX (PRESIDENT) |
| Authorized Official Telephone | 9182733649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH7702-7702 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100776120B | 05 |
| Other Name | Type Code |
|---|---|
| MOORELAND HERITAGE MANOR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134347883 | Lightning Creek Investment Group Inc | Assisted Living Facility | 400 S Mcgee St, Caney, KS 67333-1601 | 2007-04-20 |
| 1104841071 | Lightning Creek Investment Group Inc | Skilled Nursing Facility | 1100 Memorial Dr, Cherokee, OK 73728-3832 | 2006-07-13 |
| Street Address |
402 SE 6TH ST |
| City | MOORELAND |
| State | OK |
| Zip Code | 73852-9064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447796651 | Katelyn Jean Shepherd | Occupational Therapy Assistant | 402 Se 6th St, Mooreland, OK 73852-9064 | 2017-01-11 |
| 1194109991 | Robert Harris | Occupational Therapist | 402 Se 6th St, Mooreland, OK 73852-9064 | 2015-07-13 |
| 1679964803 | Jennifer Cabaniss | Physical Therapy Assistant | 402 Se 6th St, Mooreland, OK 73852-9064 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023493129 | Texoma Medical Services, Inc | Pharmacy | 417 Sw 7th Street, Suite 2, Mooreland, OK 73852 | 2015-07-30 |
| 1427449313 | Wendy Denae Crotts | Nurse Practitioner | 417 Sw 7th St, Mooreland, OK 73852-7602 | 2015-02-12 |
| 1750740338 | Woodward Health Systems LLC | Family Medicine | 417 Sw 7th St, Mooreland, OK 73852-7602 | 2016-02-11 |
| 1427421031 | Woodward Health System LLC | Clinic/Center | 417 Sw 7th St, Mooreland, OK 73852-7602 | 2015-11-04 |
| 1558749192 | Texoma Medical Services Inc | Pharmacy | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2015-05-15 |
| 1821555822 | Julie Beth Daily | Pharmacist | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2019-02-26 |
| 1154520856 | White Horse Ranch | Substance Abuse Rehabilitation Facility | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2007-07-12 |
| 1235589904 | Hope Elizabeth Smith | Peer Specialist | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2016-06-14 |
| 1215212170 | Jessica Marie Anderson | Counselor | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2011-10-11 |
| 1952685893 | Tammie Smith | Counselor | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2011-10-10 |
| Find all providers in zip 73852 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455696 | Global Higher Call Nursing, LLC | Nursing Facility/Intermediate Care Facility | 407 Whitebird St, Quapaw, OK 74363-0912 | 2020-07-23 |
| 1336641786 | Sherri Geanette Hilburn | Nursing Facility/Intermediate Care Facility | 225 N. Broadway, Carnegie, OK 73015 | 2018-03-01 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1659773778 | First Choice Home Medical Inc | Nursing Facility/Intermediate Care Facility | 720 N Galena Ave, Geary, OK 73040-1501 | 2014-09-19 |
| 1467852244 | Jlg Healthcare LLC | Nursing Facility/Intermediate Care Facility | 811 W Elk, Duncan, OK 73533-1196 | 2014-08-28 |
| 1720326622 | Integris Rehab LLC | Nursing Facility/Intermediate Care Facility | 14145 S 220th East Ave, Coweta, OK 74429-6269 | 2013-01-28 |
| 1053617761 | Colonial Park Healthcare Center LLC | Nursing Facility/Intermediate Care Facility | 600 W Frontage Rd, Okemah, OK 74859-6433 | 2011-01-28 |
| 1851562136 | Thomas Health and Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 601 East Frisco Street, Thomas, OK 73669 | 2008-03-14 |
| 1770768566 | Cox Building Company, Inc. | Nursing Facility/Intermediate Care Facility | 3501 W Washington St, Broken Arrow, OK 74012-9196 | 2007-12-31 |
| 1477745834 | Rehabcare | Nursing Facility/Intermediate Care Facility | 300 Rockefeller, Muskogee, OK 74401-5235 | 2007-08-09 |
| Find all providers with the same taxonomy | ||||
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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.