Broken Arrow Nursing Home Inc
NPI 1801913371ActiveOrganization· Skilled Nursing Facility· Broken Arrow, OK
Skilled Nursing Facility in Broken Arrow, Oklahoma, registered in NPPES in March 2007. The authorized official on file is Joanna Mae Cooper, Owner Operator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1801913371 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Mar 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 7205 | OK |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 7205 | 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 (OK) |
|---|
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