OrganizationActive
Colonial Park Manor, LLC
NPI 1033586664 · Skilled Nursing Facility · Okemah, OK
Provider details
- NPI number
- 1033586664
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Simmons, Managing Member(405) 380-6671
- License
- NH5405-5405 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 W. Frontage Road
Okemah, OK 74859-6433
Phone: (918) 623-1936
Fax: (918) 623-1936
Approximate (ZIP-level) locationGet directions
Mailing address
600 W Frontage Rd
Okemah, OK 74859-6442
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.