PSG - WILLOW PARK LLC
NPI 1821093352
Nursing Facility/Intermediate Care Facility in Lawton, OK
- Organization
- Nursing Facility/Intermediate Care Facil...
About PSG - WILLOW PARK LLC
This page provides the complete NPI Profile along with additional information for Psg - Willow Park Llc, a provider established in Lawton, Oklahoma operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1821093352 assigned on June 2005. The practitioner's primary taxonomy code is 313M00000X with license number NH1607-1607 (OK). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Cheryl Hankins (Administrator)
- NPI
- 1821093352 Verify this NPI
- Provider Name
- PSG - WILLOW PARK LLC
- Entity Type
- Organization
- Location Address
- 7019 NW CACHE RD LAWTON, OK 73505
- Location Phone
- (580) 536-1279
- Location Fax
- (580) 510-0017
- Mailing Address
- 7019 NW CACHE RD LAWTON, OK 73505
- Mailing Phone
- (580) 536-1279
- Mailing Fax
- (580) 510-0017
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2005
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- NH1607-1607
- License State
- OK
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | NH 16071607 (OK) |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821093352, enumerated as an "organization" on June 21, 2005.
The provider is located at 7019 NW CACHE RD LAWTON, OK 73505 and the phone number is (580) 536-1279.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
