NPI 1962503318 · live from the CMS NPI Registry
Colonial Plaza Nursing Home INC
Nursing Facility/Intermediate Care Facility in Cushing, OK. National Provider Identifier 1962503318, active.
NPI record
| NPI | 1962503318 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nursing Facility/Intermediate Care Facility 313M00000X |
| Practice location | 530 S Linwood Ave, Cushing, OK 74023 |
| Practice phone | 918-743-7838 |
| Enumerated | September 26, 2006 |
| Last updated | July 15, 2008 |
| Authorized official | Ed Rucker, Admistrator |
| Other names | Linwood Village Nursing & Retirement Apartments |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | 375471 (OK) |
| Nursing Facility/Intermediate Care Facility primary | 313M00000X | 0004362 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.