SA OPERATIONS LLC (NPI# 1043798069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043798069 |
| Entity Type | Organization |
| Organization Name | SA OPERATIONS LLC |
| Other Organization Name | ST. ANN'S HOME |
| Practice Address |
9400 Saint Ann Dr Oklahoma City OK 73162-6400 |
| Practice Telephone | 4057287888 |
| Practice Fax Number | 4057281302 |
| Mailing Telephone | 4057287888 |
| Mailing Fax Number | 4057281302 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | KRISTY DEROIN (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 4059431144 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH5529 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE | 375561 | 01 |
| Other Name | Type Code |
|---|---|
| St Ann's Skilled Nursing and Therapy | Doing Business As Name - Organization |
| St. Ann's Home | Doing Business As Name - Organization |
| Street Address |
9400 SAINT ANN DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871610709 | St. Ann's Home | Nursing Facility/Intermediate Care Facility | 9400 Saint Ann Dr, Oklahoma City, OK 73162-6400 | 2007-03-24 |
| 1376926089 | Claire Zimmerman Jackson | Speech-Language Pathologist | 9400 Saint Ann Dr, Oklahoma City, OK 73162-6400 | 2015-06-30 |
| 1346461712 | Vernon Tyrone Rider | Physical Therapist | 9400 Saint Ann Dr, Oklahoma City, OK 73162-6400 | 2007-05-01 |
| 1356464242 | Patricia Ann Healy | Occupational Therapist | 9400 Saint Ann Dr, Oklahoma City, OK 73162-6400 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1376775957 | Manor Care of Oklahoma City (northwest) LLC | Skilled Nursing Facility | 5301 N Brookline Ave, Oklahoma City, OK 73112-3516 | 2009-08-17 |
| 1902030570 | City of Pauls Valley | Skilled Nursing Facility | 2333 Tuscany Blvd, Oklahoma City, OK 73120-3702 | 2009-05-11 |
| 1982885265 | Lutheran Senior Citizens, Inc | Skilled Nursing Facility | 7707 W Britton Rd, Oklahoma City, OK 73132-1512 | 2007-11-15 |
| 1124156153 | Bellecare Inc. | Skilled Nursing Facility | 2801 Nw 61st St, Oklahoma City, OK 73112-7007 | 2007-03-01 |
| 1376610972 | Windsor Hills Nursing Center, LLC | Skilled Nursing Facility | 2416 N Ann Arbor Ave, Oklahoma City, OK 73127-1811 | 2006-11-29 |
| 1407923824 | Warr Acres Nursing Center, LLC | Skilled Nursing Facility | 6501 N Macarthur Blvd, Oklahoma City, OK 73132-6505 | 2006-11-29 |
| 1851487508 | Edwards Redeemer Nursing Center, LLC | Skilled Nursing Facility | 1530 Ne Grand Blvd, Oklahoma City, OK 73117-5212 | 2006-10-04 |
| 1295830933 | Brookwood Nursing Center, LLC | Skilled Nursing Facility | 940 Sw 84th St, Oklahoma City, OK 73139-9255 | 2006-09-14 |
| 1164527727 | Sooner Geriatrics, LLC | Skilled Nursing Facility | 1913 Ne 50th St, Oklahoma City, OK 73111-7003 | 2006-09-14 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.