NPI 1801913371 · live from the CMS NPI Registry
Broken Arrow Nursing Home INC
Skilled Nursing Facility in Broken Arrow, OK. National Provider Identifier 1801913371, active.
NPI record
| NPI | 1801913371 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 424 N Date Ave, Broken Arrow, OK 74012 |
| Practice phone | 918-251-5343 |
| Enumerated | March 22, 2007 |
| Last updated | March 11, 2016 |
| Authorized official | Joanna Cooper, Owner Operator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 7205 (OK) |
| Skilled Nursing Facility primary | 314000000X | 7205 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.