PHOENIX HEALTHCARE LLC


Address: 1944 N Iroquois Ave, Tulsa, OK 74106-4407
Phone: 9185831509

PHOENIX HEALTHCARE LLC (NPI# 1104830421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104830421
Entity Type Organization
Organization Name PHOENIX HEALTHCARE LLC
Other Organization Name REST HAVEN NURSING CENTER
Practice Address 1944 N Iroquois Ave
Tulsa
OK 74106-4407
Practice Telephone 9185831509
Practice Fax Number 9185831804
Mailing Telephone 9185831509
Mailing Fax Number 9185831804
Enumeration Date 2006-07-29
Last Update Date 2008-08-08
Authorized Official Name ANGELA MATTHEWS (MEDICARE SPECIALIST)
Authorized Official Telephone 9187433638
Is Organization Subpart Y
Parent Organization Name PHOENIX HEALTHCARE LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NH7221 OK Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 200040930H 05

Other Provider/Organization Names

Other Name Type Code
Rest Haven Nursing Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356454094 Phoenix Healthcare LLC Nursing Facility/Intermediate Care Facility 1503 Har-ber Rd, Grove, OK 74344-3525 2006-08-16
1780694711 Phoenix Healthcare LLC Nursing Facility/Intermediate Care Facility 1165 S. Brenner Rd, Sapulpa, OK 74066-6141 2006-08-09
1740296490 Phoenix Healthcare LLC Skilled Nursing Facility 3601 N Columbia Ave, Tulsa, OK 74110-1232 2006-08-01
1891700761 Phoenix Healthcare LLC Skilled Nursing Facility 5701 W Britton Rd, Oklahoma City, OK 73132-2402 2006-07-29
1366493066 Phoenix Healthcare LLC Skilled Nursing Facility 1235 Yancey St, Roanoke, AL 36274-2141 2006-05-15
1780687590 Phoenix Healthcare LLC Skilled Nursing Facility 10912 E 14th St, Tulsa, OK 74128-4845 2005-05-24
1275712002 Phoenix Healthcare LLC Skilled Nursing Facility 4202 N 20th Ave, Phoenix, AZ 85015-5101 2007-10-29

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Phoenix Healthcare LLC 52 Riley Road, #318, Celebration, FL 34747
North Carolina Corporations Phoenix Healthcare LLC 176 Mine Lake Court Suite 100, Raleigh, NC 27615-6417

Office Location

Street Address 1944 N IROQUOIS AVE
City TULSA
State OK
Zip Code 74106-4407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811538895 Desma Johnson Technician 784 East 43rd Street North, Tulsa, OK 74106 2019-10-01
1912462094 Breyan Lashawn Jackson Case Manager/Care Coordinator 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 2019-02-04
1740751445 Ernest Kaara Maina Family Medicine 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 2018-12-07
1568969632 A&m Healthcare Clinic Nurse Practitioner 3606 North Mlk Blvd, Tulsa, OK 74106 2018-04-06
1265880819 Paula Patricia Tullis Psychologist 1232 N Boston, Tulsa, OK 74106 2016-05-24
1326413030 Eartha Mcalester Counselor 628 E. Virgin St., Tulsa, OK 74106 2015-12-07
1114334182 James O Brannon Jr. Behavioral Analyst 2745 North Main, Tulsa, OK 74106 2014-07-22
1952718512 Teresa Marie Williams Counselor 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 2014-07-16
1639580764 Lynnette Dixon Case Management 708 East 38th Street North, Tulsa, OK 74106 2014-05-12
1184975898 Tiara Delonia Social Worker 1 W 36th St N Suite 1, Tulsa, OK 74106 2012-09-21
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760748248 Phoenix Rehab, LLC Skilled Nursing Facility 1021 Charles Page Blvd, Ste 200, Tulsa, OK 74127-8815 2012-04-09
1124226642 Troy E Mcguire Jr. Skilled Nursing Facility 535 S Richmond Ave, Tulsa, OK 74112-4136 2007-07-05
1952444887 Tulsa Christian Care Inc Skilled Nursing Facility 6201 E 36th St, Tulsa, OK 74135-5810 2007-02-14
1215013792 Cox Retirement Properties Inc Skilled Nursing Facility 2552 E 21st St, Tulsa, OK 74114-1700 2006-10-27
1740296490 Phoenix Healthcare LLC Skilled Nursing Facility 3601 N Columbia Ave, Tulsa, OK 74110-1232 2006-08-01
1700821493 Oklahoma Methodist Manor Inc Skilled Nursing Facility 4134 E 31st St, Tulsa, OK 74135-1511 2006-06-18
1013958974 Four Seasons Nursing Centers Inc Skilled Nursing Facility 2425 S Memorial Dr, Tulsa, OK 74129-2617 2006-06-09
1992750285 Peak Medical Oklahoma No. 5, Inc. Skilled Nursing Facility 7707 S Memorial Dr, Tulsa, OK 74133-3643 2006-05-24
1497723621 Cpc-sherwood Manor, Inc. Skilled Nursing Facility 2416 W 51st St, Tulsa, OK 74107-7700 2006-03-14
1831172857 Skyline Heights Operating Co LLC Skilled Nursing Facility 6202 E 61st St, Tulsa, OK 74136-2119 2005-11-23
Find all providers in TULSA

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City TULSA
Zip Code 74106

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Dataset Information

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.

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