CHECOTAH MANOR
NPI 1992778278
Skilled Nursing Facility - Nursing Care, Pediatric in Checotah, OK

Active since February 08, 2006
321 SE 2ND ST, CHECOTAH, OK 74426(918) 473-2251 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Checotah Manor NPPES

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

CHECOTAH MANOR (NPI 1992778278) is a healthcare organization registered as a nursing care, pediatric in Checotah, Oklahoma and active in the NPI registry since February 2006. The organization lists Deborah K Kelsoe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992778278
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameCHECOTAH HOLDINGS, LLC
Location Address321 SE 2ND STChecotah, OK 74426-4005
Mailing AddressPo Box 429Checotah, OK 74426-0429 · (918) 473-2251
Organization SubpartNo
Authorized OfficialDeborah K KelsoeAdministrator · (918) 473-5598
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1992778278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License Licensed in OK · 313M00000X
Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

321 SE 2ND ST, Checotah, OK 74426

Other Names 1

Doing Business AsChecotah Manor

Other Identifiers 1

MedicaidNH4602-4602OK

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
321 SE 2ND ST
CHECOTAH, OK 74426
Skilled Nursing Facility
321 SE 2ND ST
CHECOTAH, OK 74426

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 Checotah Holdings, LLC's NPI number?

The NPI number for Checotah Holdings, LLC is 1992778278. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Checotah Manor.

Where is Checotah Holdings, LLC located?

Checotah Holdings, LLC is located at 321 SE 2nd St, Checotah, OK 74426. The listed phone number is (918) 473-2251.

What is Checotah Holdings, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Checotah Holdings, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.