Provider Demographics
NPI:1811007297
Name:PROPPS CONSULTING LLC
Entity Type:Organization
Organization Name:PROPPS CONSULTING LLC
Other - Org Name:PLEASANT MANOR NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:PROPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-942-8222
Mailing Address - Street 1:310 W TAFT ST
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-5437
Mailing Address - Country:US
Mailing Address - Phone:918-224-6012
Mailing Address - Fax:918-224-7739
Practice Address - Street 1:310 W TAFT ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-5437
Practice Address - Country:US
Practice Address - Phone:918-224-6012
Practice Address - Fax:918-224-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH1903-1903314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200085530AMedicaid
OK000375284001OtherBSBC OF OKLAHOMA
OK375284Medicare Oscar/Certification