CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC (NPI# 1114922598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114922598 |
| Entity Type | Organization |
| Organization Name | CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC |
| Other Organization Name | EPWORTH VILLA |
| Practice Address |
14901 N Pennsylvania Ave Oklahoma City OK 73134 |
| Mailing Address |
14901 N Pennsylvania Ave Oklahoma City OK 73134-6069 |
| Practice Telephone | 4057521200 |
| Practice Fax Number | 4057555106 |
| Mailing Telephone | 4057521200 |
| Mailing Fax Number | 4057555106 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | KENNETH LEE BULLOCK (CFO) |
| Authorized Official Telephone | 4057493516 |
| Is Organization Subpart | Y |
| Parent Organization Name | EPWORTH LIVING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | CC5504 | OK | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | CC5504 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Epworth Villa | Doing Business As Name - Organization |
| Street Address |
14901 N PENNSYLVANIA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617172 | Derek Alan Spriggs | Physical Therapy Assistant | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2020-10-20 |
| 1023623485 | Caitlyn Biggers | Physical Therapist | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2020-09-12 |
| 1033756317 | Jana Gordon | Occupational Therapy Assistant | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2019-12-05 |
| 1174182810 | Cambri T Gregg | Physical Medicine & Rehabilitation | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2019-06-06 |
| 1134688138 | Paula Lee Saxon | Physical Medicine & Rehabilitation | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2019-03-19 |
| 1134684624 | Christina Nichole Hines | Occupational Therapy Assistant | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2019-02-08 |
| 1306320783 | Kendra Michelle Steinly | Physical Medicine & Rehabilitation | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2018-09-20 |
| 1306320346 | Caroline Rogers | Speech-Language Pathologist | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2018-09-15 |
| 1649753971 | Cassia May Claunch | Speech-Language Pathologist | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2018-09-12 |
| 1801378062 | Jennifer Dykema | Physical Therapist | 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
| 1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
| Find all providers in zip 73134 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891902961 | Rehabcare | Nursing Facility/Intermediate Care Facility | 308 Ne 4th St Apt 103, Oklahoma City, OK 73104-4086 | 2007-05-17 |
| 1871610709 | St. Ann's Home | Nursing Facility/Intermediate Care Facility | 9400 Saint Ann Dr, Oklahoma City, OK 73162-6400 | 2007-03-24 |
| 1780720045 | Reliant Living Centers of Oklahoma | Nursing Facility/Intermediate Care Facility | 2901 Se 22nd St, Oklahoma City, OK 73129-8413 | 2007-01-30 |
| 1457397325 | Crane Young and Associates Inc | Nursing Facility/Intermediate Care Facility | 3804 N Barr Ave, Oklahoma City, OK 73122-2410 | 2006-06-21 |
| 1952347833 | Skyview Nursing Center Partnership | Nursing Facility/Intermediate Care Facility | 2200 N Coltrane Rd, Oklahoma City, OK 73121-4623 | 2006-06-21 |
| 1932144003 | North Winds Living Center Inc | Nursing Facility/Intermediate Care Facility | 3718 N Portland Ave, Oklahoma City, OK 73112-2924 | 2006-06-20 |
| 1659351641 | Amberwood Nursing Center | Nursing Facility/Intermediate Care Facility | 5900 N Robinson Ave, Oklahoma City, OK 73118-7451 | 2006-01-18 |
| 1326048695 | N-vest Skilled Nursing of Oklahoma, LLC | Nursing Facility/Intermediate Care Facility | 6312 N Portland Ave, Oklahoma City, OK 73112-1463 | 2005-07-28 |
| 1285632026 | Westlake Nursing Home Lp | Nursing Facility/Intermediate Care Facility | 13500 Brandon Pl, Oklahoma City, OK 73142-4312 | 2005-07-13 |
| 1831663780 | Warr Acres Operating LLC | Nursing Facility/Intermediate Care Facility | 6501 N Macarthur Blvd, Oklahoma City, OK 73132-6505 | 2019-01-14 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
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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.