Provider Demographics
NPI:1093837767
Name:SAYRE HEALTH CARE INC
Entity Type:Organization
Organization Name:SAYRE HEALTH CARE INC
Other - Org Name:HENSLEY NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-928-2494
Mailing Address - Street 1:HIGHWAY 152 BOX 465
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:OK
Mailing Address - Zip Code:73662-0465
Mailing Address - Country:US
Mailing Address - Phone:580-928-2494
Mailing Address - Fax:580-928-2495
Practice Address - Street 1:1 QUARTER MILE E OF COURT HOUSE
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:OK
Practice Address - Zip Code:73662
Practice Address - Country:US
Practice Address - Phone:580-928-2494
Practice Address - Fax:580-928-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH0502-0502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100777390AMedicaid
OK100777390AMedicaid