NPI 1992778278 · live from the CMS NPI Registry
Checotah Holdings, LLC
Skilled Nursing Facility, Nursing Care, Pediatric in Checotah, OK. National Provider Identifier 1992778278, active.
NPI record
| NPI | 1992778278 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility, Nursing Care, Pediatric 3140N1450X |
| Practice location | 321 Se 2nd St, Checotah, OK 74426 |
| Practice phone | 918-473-2251 |
| Mailing address | Po Box 429, Checotah, OK 74426 |
| Enumerated | February 8, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Deborah Kelsoe, Administrator |
| Other names | Checotah Manor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility, Nursing Care, Pediatric primary | 3140N1450X | 313M00000X (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.