HILLDALE NURSING FACILITY INC. NPI 1881775070

NPI Information

  • NPI: 1881775070
  • Provider Name: HILLDALE NURSING FACILITY, INC.
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: COWETA MANOR NURSING HOME
  • Address: 30049 E 151ST STREET SOUTH
    COWETA, OK
    ZIP 74429
  • Phone: (918) 486-2166

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NPI Details

HILLDALE NURSING FACILITY, INC. is a nursing facility intermediate care facility in Coweta, OK. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HILLDALE NURSING FACILITY, INC. NPI is 1881775070. The provider is registered as an organization entity type.
The provider Is Doing Business As Coweta Manor Nursing Home.

The provider's business location address is:

30049 E 151ST STREET SOUTH
COWETA, OK
ZIP 74429
Phone: (918) 486-2166
Fax: (918) 486-6308

The provider's authorized official is Stacey Shankle .
The authorized official title is Administrator and has the following contact phone number (918) 486-2166.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/22/2020.

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
1313M00000XNursing Facility/Intermediate Care FacilityNH7301-7301OKLAHOMAYes

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: 11/21/2025

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