FCC OF KINGSTON LLC (NPI# 1306198932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306198932 |
| Entity Type | Organization |
| Organization Name | FCC OF KINGSTON LLC |
| Other Organization Name | FAMILY CARE CENTER |
| Practice Address |
701 Highway 32 Kingston OK 73439-8073 |
| Practice Telephone | 5805642216 |
| Practice Fax Number | 5805642298 |
| Mailing Telephone | 5805642216 |
| Mailing Fax Number | 5805642298 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | JOE SCEARCE (MANAGING MEMBER) |
| Authorized Official Telephone | 4059059133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH4802-4802 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NURSING HOME ID | NH-4802-4802 | 01 |
| Other Name | Type Code |
|---|---|
| Family Care Center | Doing Business As Name - Organization |
| Street Address |
701 HIGHWAY 32 |
| City | KINGSTON |
| State | OK |
| Zip Code | 73439-8073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489859 | Amanda Griffin | Behavior Technician | 9236 Polvadore Drive, Kingston, OK 73439 | 2020-02-13 |
| 1659837102 | Sheriden Cheyenne Franks | Pharmacist | 7 North Main Street, Kingston, OK 73439 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
| 1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
| 1932577277 | Laura Kay Gleaves | Counselor | 717 B Hwy E, Kingston, OK 73439 | 2015-09-03 |
| 1346622099 | Alicia Thompson | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-18 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1518373513 | Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC | Community/Behavioral Health | 8800 Birch St, Kingston, OK 73439 | 2014-07-10 |
| 1205131554 | Marie Morrison Bramlett | Counselor | 400 Ne 3rd St, Kingston, OK 73439 | 2011-01-18 |
| Find all providers in zip 73439 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538403092 | Christopher Braid | Skilled Nursing Facility | 17 Old Coach Rd, Kingston, NH 03848-3441 | 2012-11-21 |
| 1588815203 | Healthcare and Rehab of Kingston, LLC | Skilled Nursing Facility | Hc 71 Box 83, Kingston, OK 73439-9701 | 2008-10-01 |
| 1598856288 | Family Care Centers of Oklahoma, LLC | Skilled Nursing Facility | 701 Hwy 32, Hc 71, Kingston, OK 73439-9701 | 2006-09-27 |
| 1952357659 | Manor Care of Kingston Pa LLC | Skilled Nursing Facility | 200 2nd Ave, Kingston, PA 18704-5722 | 2006-05-25 |
| 1376530972 | Kingston Nursing Home Ltd | Skilled Nursing Facility | 38 W 3rd St, Kingston, OH 45644 | 2005-09-29 |
| 1811983687 | Kingston Health Care Center LLC | Skilled Nursing Facility | 702 3rd Ave, Kingston, PA 18704-5845 | 2005-09-27 |
| 1629072152 | The Rehabilitation Group of Pennsylvania, Inc. | Skilled Nursing Facility | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2005-06-13 |
| 1356959878 | Ulster Nh Operations LLC | Skilled Nursing Facility | 99 Golden Hill Dr, Kingston, NY 12401-6442 | 2020-07-21 |
| 1194200873 | Guardian Elder Care At Kingston LLC | Skilled Nursing Facility | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2018-09-28 |
| 1780111864 | Platinum Health At River Run LLC | Skilled Nursing Facility | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2017-05-19 |
| Find all providers in KINGSTON | ||||
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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.