3C OLD FASHION BOARDING HOME
NPI 1124359047
Assisted Living Facility - Assisted Living, Mental Illness in Prague, OK

Q: What is 3C Old Fashion Boarding Home's NPI number?

The NPI number for 3C Old Fashion Boarding Home is 1124359047. It was assigned to this organization in the NPPES registry on January 15, 2010.

Q: What is 3C Old Fashion Boarding Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since January 15, 2010

719 S JIM THORPE BLVD, NBU 1706, PRAGUE, OK 74864(405) 567-2280(405) 567-2280 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About 3c Old Fashion Boarding Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

3C OLD FASHION BOARDING HOME (NPI 1124359047) is a healthcare organization registered as an assisted living, mental illness in Prague, Oklahoma and active in the NPI registry since January 2010. The organization lists Jvon Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1124359047

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business Name3C OLD FASHION BOARDING HOME

Location Address719 S JIM THORPE BLVD, NBU 1706Prague, OK 74864-3505

Mailing Address719 S Jim Thorpe Blvd, Nbu 1706Prague, OK 74864-3505 · (405) 567-2280 · Fax (405) 567-2280

Phone(405) 567-2280

Fax(405) 567-2280

Organization SubpartNo

Authorized OfficialJvon CookOwner · (405) 567-7677

Enumeration DateJanuary 15, 2010

✔ NPI 1124359047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

719 S JIM THORPE BLVD, Prague, OK 74864

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Other Names 1

Doing Business As3c Old Fashion Boarding Home

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 3C Old Fashion Boarding Home's NPI number?

The NPI number for 3C Old Fashion Boarding Home is 1124359047. It was assigned to this organization in the NPPES registry on January 15, 2010.

Where is 3C Old Fashion Boarding Home located?

3C Old Fashion Boarding Home is located at 719 S Jim Thorpe Blvd Nbu 1706, Prague, OK 74864. The listed phone number is (405) 567-2280.

What is 3C Old Fashion Boarding Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for 3C Old Fashion Boarding Home was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.