Spanish Cove Housing Authority
Skilled Nursing Facility in Yukon, OK. Organization (NPI-2).
NPI number1982947172
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1982947172
- Entity type
- Organization (NPI-2)
- Legal business name
- Spanish Cove Housing Authority
- Organization subpart
- No
- Enumeration date
- Apr 5, 2013
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | CC0901-0901 | OK | Yes |
| 251E00000X | Home Health | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – |
Other names
- Spanish Cove Retirement Village (Doing Business As)
Practice location
11 Palm AveYukon, OK 73099-5645
Phone 405-354-1901 · Fax 405-354-6584
Mailing address
11 Palm AveYukon, OK 73099-5645
Phone 405-354-1901 · Fax 405-354-6584
Authorized official
Donald N. Blose
Ceo & Executive Administrator
4053541901
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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