COLONIAL PARK HEALTHCARE CENTER – NPI #1053617761
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

COLONIAL PARK HEALTHCARE CENTER is a skilled nursing facility (SNF) located in OKEMAH, OK. NPPES has assigned the NPI number 1053617761 to COLONIAL PARK HEALTHCARE CENTER on January 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COLONIAL PARK HEALTHCARE CENTER” is a dba name, the actual legal business name for this organization is COLONIAL PARK HEALTHCARE CENTER LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLONIAL PARK HEALTHCARE CENTER below.

NPI Profile for
COLONIAL PARK HEALTHCARE CENTER LLC

NPI Number
1053617761
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLONIAL PARK HEALTHCARE CENTER LLC
Doing Business As (dba): COLONIAL PARK HEALTHCARE CENTER
Primary location
600 W FRONTAGE RD
OKEMAH, OK 74859-6433
Phone: (918) 623-1936 Fax: (918) 623-2287
Mailing address
131 N BROADWAY AVE
ADA, OK 74820-5003
Phone: (580) 436-0950 Fax: (580) 436-0953
Organization Subpart
No
Authorized Official
BART REED
MANAGER
Phone: (580) 436-0950
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
OK NH5405-5405
313M00000X
- Nursing Facility/Intermediate Care Facility
OK NH5405-5405

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.