HOMESTEAD OF WEATHERFORD OPERATIONS LLC NPI 1114590247

NPI Information

NPI: 1114590247
Provider Name: HOMESTEAD OF WEATHERFORD OPERATIONS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3601 E MAIN ST
WEATHERFORD, OK
ZIP 73096
Phone: (580) 774-2955
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HOMESTEAD OF WEATHERFORD OPERATIONS LLC is an assisted living facility in Weatherford, OK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HOMESTEAD OF WEATHERFORD OPERATIONS LLC NPI is 1114590247. The provider is registered as an organization entity type.

The provider's business location address is:

3601 E MAIN ST
WEATHERFORD, OK
ZIP 73096-338
Phone: (580) 774-2955

The provider's authorized official is Michael D Tryon .
The authorized official title is Cfo and has the following contact phone number (785) 272-1535.

The enumeration date for this NPI number is 7/16/2021 and was last updated on 7/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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