CBW INC (NPI# 1922137314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922137314 |
| Entity Type | Organization |
| Organization Name | CBW INC |
| Other Organization Name | GOLDEN YEARS RESCARE |
| Practice Address |
308 W 4th St Konawa OK 74849-1612 |
| Mailing Address |
Po Box 339 Konawa OK 74849-0339 |
| Practice Telephone | 5809253618 |
| Mailing Telephone | 5809253618 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARY ROSE WEBB (PRESIDENT) |
| Authorized Official Telephone | 4055275473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | RO67-RO67 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Golden Years Rescare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CBW INC. | 1415 East Main Street, Richmond, Virginia 23219 |
| Street Address |
308 W 4TH ST |
| City | KONAWA |
| State | OK |
| Zip Code | 74849-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932482957 | Doris Chance | Case Manager/Care Coordinator | 308 W 4th St, Konawa, OK 74849-1612 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680176 | Dave Garrett Herriman | Social Worker | 527 W Third Street, Konawa, OK 74849 | 2014-04-22 |
| 1518152529 | Tami Ranae Hernandez | Counselor | 527 West Third St, Konawa, OK 74849 | 2007-09-12 |
| 1427067859 | Erron Cody Proctor | Physician Assistant | 527 West 3rd St, Konawa, OK 74849 | 2006-08-05 |
| 1972519544 | Umar Saeed | Family Medicine | 527 West Third Street, Konawa, OK 74849 | 2006-08-01 |
| 1649485996 | Central Ok Family Med Ctr | Clinic/Center | 527 W 3rd St, Konawa, OK 74849 | 2007-05-11 |
| 1477683860 | Winifred Watson | Social Worker | 527 W 3rd St, Konawa, OK 74849 | 2007-03-06 |
| 1861574717 | Paul Tucker | Social Worker | 527 W 3rd St, Konawa, OK 74849 | 2006-10-19 |
| 1831291293 | Central Oklahoma Family Medical Center, Inc. | Clinic/Center | 527 West 3rd St, Konawa, OK 74849 | 2006-09-05 |
| 1972725828 | Larna Louise Tribbey | Counselor | 527 West Third Street, Konawa, OK 74849-0000 | 2007-05-02 |
| 1962407999 | Judy Pearce | Nurse Practitioner | 527 W 3rd St, Konawa, OK 74849-1415 | 2005-06-16 |
| Find all providers in zip 74849 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1710501499 | Siloam Operations LLC | Intermediate Care Facility, Mental Illness | 3325 French Park Dr Ste 6, Edmond, OK 73034-7265 | 2020-05-29 |
| 1972852903 | Carl Albert Community Mental Health Center | Intermediate Care Facility, Mental Illness | 339 W Fillmore Ave, Mcalester, OK 74501-3604 | 2012-09-06 |
| 1316257496 | Arc Group Homes, Inc. | Intermediate Care Facility, Mental Illness | 5120 Jacquelyn Ln, Bartlesville, OK 74006-7732 | 2010-10-07 |
| 1164684957 | Meadow Brook Icf/mr #2 | Intermediate Care Facility, Mental Illness | 1500 Meadow Lane, Howe, OK 74940 | 2008-07-02 |
| 1922005230 | Hill Nursing Home, Inc. | Intermediate Care Facility, Mental Illness | 808 Nw Martin Luther King Ave, Idabel, OK 74745-4268 | 2005-06-30 |
| 1679806392 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2009-09-14 |
| 1619163771 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 1508052663 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 1871789933 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 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.