SERVANT LIVING CENTER-THOMAS LLC

Nursing Facility/Intermediate Care Facility

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.

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Contact Information

SERVANT LIVING CENTER-THOMAS LLC

601 E FRISCO
THOMAS, OK 73669

Phone: 580-661-3260
Fax: 580-661-3263
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Facility/Intermediate Care Facility	313M00000X	A3[10]	Other Nursing Facility

Indicates primary specialty

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NPI Profile & details for SERVANT LIVING CENTER-THOMAS LLC

NPI # 1730102617

LBN Legal business name SERVANT LIVING CENTER-THOMAS LLC

Authorized official SCOTT PILGRIM - (MANAGING MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/25/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

NH2004-2004

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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