SEMINOLE NURSING HOME INC (NPI# 1578550331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550331 |
| Entity Type | Organization |
| Organization Name | SEMINOLE NURSING HOME INC |
| Other Organization Name | SEMINOLE PIONEER NURSING HOME |
| Practice Address |
1705 Boren Blvd Seminole OK 74868-2725 |
| Practice Telephone | 4053821270 |
| Practice Fax Number | 4053823199 |
| Mailing Telephone | 4053821270 |
| Mailing Fax Number | 4053823199 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | JANICE PITA (INSURANCE/MEDICARE) |
| Authorized Official Telephone | 5806226300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH6704-6704 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200004720A | 05 | |
| OK | BLUE CROSS BLUE SHIELD OK | 000375350001 | 01 |
| Other Name | Type Code |
|---|---|
| Seminole Pioneer Nursing Home | Doing Business As Name - Organization |
| Street Address |
1705 BOREN BLVD |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1760487243 | Tricia Lee Butner | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 | 2005-06-20 |
| Find all providers in zip 74868 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826377 | Peak Medical Oklahoma No. 10, Inc. | Nursing Facility/Intermediate Care Facility | 1200 E. Wrangler Blvd., Seminole, OK 74868-3595 | 2006-06-08 |
| 1558350751 | Seminole Hospital District of Gaines County Texas | Nursing Facility/Intermediate Care Facility | 212 Nw 10th St, Seminole, TX 79360-3447 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455696 | Global Higher Call Nursing, LLC | Nursing Facility/Intermediate Care Facility | 407 Whitebird St, Quapaw, OK 74363-0912 | 2020-07-23 |
| 1336641786 | Sherri Geanette Hilburn | Nursing Facility/Intermediate Care Facility | 225 N. Broadway, Carnegie, OK 73015 | 2018-03-01 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1659773778 | First Choice Home Medical Inc | Nursing Facility/Intermediate Care Facility | 720 N Galena Ave, Geary, OK 73040-1501 | 2014-09-19 |
| 1467852244 | Jlg Healthcare LLC | Nursing Facility/Intermediate Care Facility | 811 W Elk, Duncan, OK 73533-1196 | 2014-08-28 |
| 1720326622 | Integris Rehab LLC | Nursing Facility/Intermediate Care Facility | 14145 S 220th East Ave, Coweta, OK 74429-6269 | 2013-01-28 |
| 1053617761 | Colonial Park Healthcare Center LLC | Nursing Facility/Intermediate Care Facility | 600 W Frontage Rd, Okemah, OK 74859-6433 | 2011-01-28 |
| 1851562136 | Thomas Health and Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 601 East Frisco Street, Thomas, OK 73669 | 2008-03-14 |
| 1770768566 | Cox Building Company, Inc. | Nursing Facility/Intermediate Care Facility | 3501 W Washington St, Broken Arrow, OK 74012-9196 | 2007-12-31 |
| 1477745834 | Rehabcare | Nursing Facility/Intermediate Care Facility | 300 Rockefeller, Muskogee, OK 74401-5235 | 2007-08-09 |
| 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.