Provider Demographics
NPI:1679699425
Name:CARNEGIE NURSING HOME, INC.
Entity type:Organization
Organization Name:CARNEGIE NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:GEANETTE
Authorized Official - Last Name:HILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-654-1439
Mailing Address - Street 1:225 NORTH BROADWAY
Mailing Address - Street 2:P.O.BOX 99
Mailing Address - City:CARNEGIE
Mailing Address - State:OK
Mailing Address - Zip Code:73015-0099
Mailing Address - Country:US
Mailing Address - Phone:580-654-1439
Mailing Address - Fax:580-654-2637
Practice Address - Street 1:225 NORTH BROADWAY
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:OK
Practice Address - Zip Code:73015-0099
Practice Address - Country:US
Practice Address - Phone:580-654-1439
Practice Address - Fax:580-654-2637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH0801-0801313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility