Provider Demographics
NPI:1326048695
Name:N-VEST SKILLED NURSING OF OKLAHOMA, LLC
Entity Type:Organization
Organization Name:N-VEST SKILLED NURSING OF OKLAHOMA, LLC
Other - Org Name:PARCWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-946-6932
Mailing Address - Street 1:6312 N PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-1463
Mailing Address - Country:US
Mailing Address - Phone:405-946-6932
Mailing Address - Fax:405-946-1882
Practice Address - Street 1:6312 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-1463
Practice Address - Country:US
Practice Address - Phone:405-946-6932
Practice Address - Fax:405-946-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH5504-5504313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK375412Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER