POCOLA NURSING CENTER LLC (NPI# 1881721637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881721637 |
| Entity Type | Organization |
| Organization Name | POCOLA NURSING CENTER LLC |
| Practice Address |
200 Home Street Pocola OK 74902 |
| Mailing Address |
Po Box 869 Pocola OK 74902-0869 |
| Practice Telephone | 9184362228 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | CHRIS HENSLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 9184362228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
100777480A | OK | Nursing & Custodial Care Facilities |
| Street Address |
200 HOME STREET |
| City | POCOLA |
| State | OK |
| Zip Code | 74902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009611 | Ashlyn Beasley | Case Manager/Care Coordinator | 504 Morris St, Pocola, OK 74902 | 2016-08-28 |
| 1780776237 | Pocola Public Schools | Public Health or Welfare | 603 E Pryor Ave, Pocola, OK 74902-1901 | 2006-09-29 |
| 1467094524 | Tahlina Weir | Counselor | 205 Cottonwood, Pocola, OK 74902-2340 | 2019-10-10 |
| 1053787283 | Amanda Combs | Nurse Practitioner | 202 Beam Ln, Pocola, OK 74902-2463 | 2015-08-11 |
| 1841458262 | John Thomas Coulbourn | Counselor | 1405 Blair St, Pocola, OK 74902-2860 | 2008-06-02 |
| 1487275699 | Stateline Medical Lab LLC | Clinical Medical Laboratory | 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101 | 2020-04-28 |
| 1114421260 | Stateline Medical LLC | Clinical Medical Laboratory | 105 N Pocola Blvd, Suite 2, Pocola, OK 74902-3101 | 2018-03-22 |
| 1023362779 | Kal Home Health Inc | Home Health | 302 N Pocola Blvd, Pocola, OK 74902-3102 | 2012-11-02 |
| 1174785091 | Shane Thomas Walker | Chiropractor | 1406 N Pocola Blvd, Pocola, OK 74902-3139 | 2008-07-01 |
| 1225238447 | Haisten Enterprises PC | Pharmacy | 102 E Folsom Blvd, Pocola, OK 74902-3150 | 2007-07-25 |
| Find all providers in zip 74902 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778278 | Checotah Holdings, LLC | Skilled Nursing Facility | 321 Se 2nd St, Checotah, OK 74426-4005 | 2006-02-08 |
| 1265742092 | Parcway | Skilled Nursing Facility | 6312 N Portland Ave, Oklahoma City, OK 73112-1463 | 2010-10-14 |
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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.