Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

3c Old Fashion Boarding Home

Assisted Living Facility (Mental Illness) in Prague, OK · enumerated 2010 · authorized official Jvon Cook, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124359047

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Registry record

Entity type Organization (Type 2)

Legal business name 3c Old Fashion Boarding Home

Other name <Unavail>

Practice address 719 S Jim Thorpe Blvd, Nbu 1706, Prague, OK, 74864

Phone (405) 567-2280

Fax (405) 567-2280

Enumeration date Jan 15, 2010

Last updated in NPPES Jan 15, 2010

Taxonomy & classification

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities Primary

Authorized official

Name Jvon Cook

Title Owner

Phone (405) 567-7677

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-15. Verify at npiregistry.cms.hhs.gov.

Where is 3c Old Fashion Boarding Home located?

The practice location on file with NPPES is in Prague, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-15.