Colonial Park Manor, LLC
NPI 1033586664ActiveOrganization· Skilled Nursing Facility· Okemah, OK
Skilled Nursing Facility in Okemah, Oklahoma, registered in NPPES in August 2015. The authorized official on file is Donna Simmons, LNHA, Managing Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1033586664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2015 |
| Last updated in NPPES | Sep 19, 2025 |
| Certified by provider | Sep 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | NH5405-5405 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TX) |
|---|
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