Provider Demographics
NPI:1396029468
Name:SHERWOOD-THS, LLC
Entity Type:Organization
Organization Name:SHERWOOD-THS, LLC
Other - Org Name:SHERWOOD MANOR NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:BONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-417-8131
Mailing Address - Street 1:838 CARTHAGE HWY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-4611
Mailing Address - Country:US
Mailing Address - Phone:615-417-8131
Mailing Address - Fax:
Practice Address - Street 1:2416 W 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107-7700
Practice Address - Country:US
Practice Address - Phone:918-446-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH7225-7225314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility