COUNTRY CLUB CARE
NPI 1316030414
Skilled Nursing Facility in Duncan, OK

Active since October 02, 2006
1904 N HIGHWAY 81, DUNCAN, OK 73533(580) 255-4600(580) 255-0438 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Club Care NPPES

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

COUNTRY CLUB CARE (NPI 1316030414) is a healthcare organization registered as a skilled nursing facility in Duncan, Oklahoma and active in the NPI registry since October 2006. The organization lists Joe Lynn Gregston, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316030414
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKANAKUK, INC.
Location Address1904 N HIGHWAY 81Duncan, OK 73533-1447
Mailing Address1904 N Highway 81Duncan, OK 73533-1447 · (580) 255-4600 · Fax (580) 255-0438
Fax(580) 255-0438
Organization SubpartNo
Authorized OfficialJoe Lynn GregstonAdministrator · (580) 255-4600
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 20, 2009
NPI 1316030414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OK · NH69046904
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1904 N HIGHWAY 81, Duncan, OK 73533

Other Names 1

Doing Business AsCountry Club Care

Other Identifiers 3

Medicaid100773460 AOK
Medicaid100773460AOK
Medicare ID-Type Unspecified375495OK

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 Kanakuk, Inc.'s NPI number?

The NPI number for Kanakuk, Inc. is 1316030414. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Country Club Care.

Where is Kanakuk, Inc. located?

Kanakuk, Inc. is located at 1904 N Highway 81, Duncan, OK 73533. The listed phone number is (580) 255-4600.

What is Kanakuk, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Kanakuk, Inc. was last updated on August 20, 2009. 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.