3c Old Fashion Boarding Home
NPI 1124359047 · Assisted Living Facility (Mental Illness) · Prague, OK
3c Old Fashion Boarding Home is a Assisted Living Facility (Mental Illness) organization in Prague, OK (NPI 1124359047).
Provider details
- NPI number
- 1124359047
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jvon Cook, Owner(405) 567-7677
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Doing business as
- 3c Old Fashion Boarding Home
Registry dates
- Enumerated
- 2010-01-15
- Last updated
- 2010-01-15
Frequently asked questions
- What is 3c Old Fashion Boarding Home's NPI number?
- 3c Old Fashion Boarding Home's National Provider Identifier (NPI) is 1124359047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 3c Old Fashion Boarding Home?
- 3c Old Fashion Boarding Home is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is 3c Old Fashion Boarding Home located?
- 3c Old Fashion Boarding Home's practice location on file with NPPES is 719 S Jim Thorpe Blvd, Prague, OK 74864-3505.
- What is 3c Old Fashion Boarding Home's phone number?
- The practice phone number listed in the NPPES registry for 3c Old Fashion Boarding Home is (405) 567-2280.
- Who is the authorized official for 3c Old Fashion Boarding Home?
- The authorized official listed on 3c Old Fashion Boarding Home's NPPES record is Jvon Cook, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 3c Old Fashion Boarding Home's NPI active?
- Yes — 3c Old Fashion Boarding Home's NPI (1124359047) is active in the NPPES registry as of the last update on 2010-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.