N & R SHAWNEE LLC (NPI# 1508869033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508869033 |
| Entity Type | Organization |
| Organization Name | N & R SHAWNEE LLC |
| Other Organization Name | SHAWNEE COLONIAL ESTATES NURSING HOME |
| Practice Address |
535 W Federal St Shawnee OK 74804-2713 |
| Mailing Address |
329 Townepark Cir Suite 100 Louisville KY 40243-2348 |
| Practice Telephone | 4052737661 |
| Practice Fax Number | 4052737893 |
| Mailing Telephone | 5022549525 |
| Mailing Fax Number | 5022549919 |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | MR. JAY H TRUMBO (CFO) |
| Authorized Official Telephone | 5022549525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH6311-6311 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200017280A | 05 |
| Other Name | Type Code |
|---|---|
| SHAWNEE COLONIAL ESTATES NURSING HOME | Doing Business As Name - Organization |
| Street Address |
535 W FEDERAL ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431731 | Charles Ochieng' Awiti | Occupational Therapist | 535 W Federal St, Shawnee, OK 74804-2713 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1144664483 | Opshaw, LLC | Skilled Nursing Facility | 1610 N Bryan Ave, Shawnee, OK 74804-4229 | 2013-04-17 |
| 1710935069 | Arc Sweet Life Rosehill LLC | Skilled Nursing Facility | 12802 Johnson Dr, Shawnee, KS 66216-1645 | 2006-05-05 |
| 1720060759 | Shawnee Gardens Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 6416 Long Street, Shawnee, KS 66216-2566 | 2005-11-16 |
| 1437147212 | City of Hugo | Skilled Nursing Facility | 1202 W Gilmore St, Shawnee, OK 74804-1729 | 2005-10-06 |
| 1043213184 | C and H Healthcare LLC | Skilled Nursing Facility | 10315 Johnson Dr, Shawnee, KS 66203-3065 | 2005-05-23 |
| 1316598451 | Recover-care Merriam Gardens LLC | Skilled Nursing Facility | 9700 W 62nd St, Shawnee, KS 66203-3220 | 2019-09-20 |
| 1003359878 | Recover-care Shawnee LLC | Skilled Nursing Facility | 6416 Long Ave, Shawnee, KS 66216-2566 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960940 | Memory Care Center At Emerald, LLC | Skilled Nursing Facility | 2700 Hickory St, Claremore, OK 74017-1214 | 2018-11-07 |
| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1376993071 | Henryetta Community Skilled Healthcare and Rehab, LLC | Skilled Nursing Facility | 212 N Antes Ave, Henryetta, OK 74437-7331 | 2016-06-14 |
| 1215382734 | Ok4 Ft. Gibson Opco LLC | Skilled Nursing Facility | 205 E Poplar St, Fort Gibson, OK 74434-8272 | 2016-05-03 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1255702791 | Tidwell Family Healthcare, LLC | Skilled Nursing Facility | 1209 W Main St, Quinton, OK 74561 | 2015-10-09 |
| 1033586664 | Colonial Park Manor, LLC | Skilled Nursing Facility | 600 W. Frontage Road, Okemah, OK 74859-6433 | 2015-08-31 |
| 1770963092 | Binger Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 516 North Broadway, Binger, OK 73009-5002 | 2015-06-02 |
| 1467843177 | Summers Health Services, LLC | Skilled Nursing Facility | 119 N. 6th St, Okeene, OK 73763 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
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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.