Healthcare Provider Details

I. General information

NPI: 1902635717
Provider Name (Legal Business Name): COMMONS OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3706 KING ST
ENID OK
73703-4924
US

IV. Provider business mailing address

4350 WILL ROGERS PKWY STE 300
OKLAHOMA CITY OK
73108-1839
US

V. Phone/Fax

Practice location:
  • Phone: 580-237-6164
  • Fax:
Mailing address:
  • Phone: 405-650-5804
  • Fax: 405-639-2742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM BRETT COBLE
Title or Position: PRESIDENT
Credential:
Phone: 405-943-1144