What is Conhold of Ponca LLC's NPI number?

Conhold of Ponca LLC's National Provider Identifier (NPI) is 1124326434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Conhold of Ponca LLC?

Conhold of Ponca LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Where is Conhold of Ponca LLC located?

Conhold of Ponca LLC's practice location on file with NPPES is 2024 Turner St, Ponca City, OK 74604-2732.

What is Conhold of Ponca LLC's phone number?

The practice phone number listed in the NPPES registry for Conhold of Ponca LLC is (580) 765-3364.

Does Conhold of Ponca LLC accept Medicare?

Conhold of Ponca LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Conhold of Ponca LLC?

The authorized official listed on Conhold of Ponca LLC's NPPES record is James Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Conhold of Ponca LLC's NPI active?

Yes — Conhold of Ponca LLC's NPI (1124326434) is active in the NPPES registry as of the last update on 2011-03-21.

OrganizationActiveAccepts Medicare

Conhold of Ponca LLC

NPI 1124326434 · Skilled Nursing Facility · Ponca City, OK

Conhold of Ponca LLC is a Skilled Nursing Facility organization in Ponca City, OK (NPI 1124326434).

Provider details

NPI number: 1124326434
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: James Sullivan, Owner(918) 774-9696
License: NH3607-3607 (OK)

Practice location

2024 Turner St

Ponca City, OK 74604-2732

Phone: (580) 765-3364

Fax: (580) 765-3376

Street-level locationGet directions

More OK providers

Mailing address

2024 Turner St

Ponca City, OK 74604-2732

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense NH3607-3607 (OK)
Nursing & Custodial Care Facilities

Other names (DBA / former)

Doing business as: Shawn Manor Nursing Home

Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 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.

Enumerated: 2011-03-10
Last updated: 2011-03-21

Frequently asked questions

What is Conhold of Ponca LLC's NPI number?: Conhold of Ponca LLC's National Provider Identifier (NPI) is 1124326434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Conhold of Ponca LLC?: Conhold of Ponca LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
Where is Conhold of Ponca LLC located?: Conhold of Ponca LLC's practice location on file with NPPES is 2024 Turner St, Ponca City, OK 74604-2732.
What is Conhold of Ponca LLC's phone number?: The practice phone number listed in the NPPES registry for Conhold of Ponca LLC is (580) 765-3364.
Does Conhold of Ponca LLC accept Medicare?: Conhold of Ponca LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Conhold of Ponca LLC?: The authorized official listed on Conhold of Ponca LLC's NPPES record is James Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Conhold of Ponca LLC's NPI active?: Yes — Conhold of Ponca LLC's NPI (1124326434) is active in the NPPES registry as of the last update on 2011-03-21.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions