SCG OAK RIDGE LLC (NPI# 1134118946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134118946 |
| Entity Type | Organization |
| Organization Name | SCG OAK RIDGE LLC |
| Other Organization Name | OAKRIDGE NURSING CENTER |
| Practice Address |
1100 Oakridge Dr Durant OK 74701-2620 |
| Mailing Address |
1240 Marbella Plaza Dr. Tampa FL 33619-7905 |
| Practice Telephone | 5809243244 |
| Practice Fax Number | 5809240099 |
| Mailing Telephone | 8133412700 |
| Mailing Fax Number | 8136760127 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | MR. ROBERT DANIEL VAUGHAN (PRESIDENT) |
| Authorized Official Telephone | 8133412700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0706-0706 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100773180A | 05 |
| Other Name | Type Code |
|---|---|
| Oakridge Nursing Center | Doing Business As Name - Organization |
| Street Address |
1100 OAKRIDGE DR |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637319 | Gina Hatfield | Occupational Therapist | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2018-11-09 |
| 1275716318 | Candice Nichole Ertman | Physical Therapy Assistant | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2007-12-12 |
| 1760673644 | Eleanor Miraflor Domingo | Physical Therapist | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2007-08-06 |
| 1699973602 | Timothy Adam Whitis | Occupational Therapy Assistant | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2007-07-11 |
| 1891806808 | Beckey Plumley | Occupational Therapy Assistant | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2006-08-31 |
| 1639280563 | Alecia Wyrick | Occupational Therapy Assistant | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2006-08-31 |
| 1962513887 | Christina Wingfield | Occupational Therapist | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2006-08-31 |
| 1811007842 | Jennifer Meagen Smith | Physical Therapy Assistant | 1100 Oakridge Dr, Durant, OK 74701-2620 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| 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 |
|---|---|---|---|---|
| 1295810901 | Holmes County Long Term Care Center - Durant | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2006-10-25 |
| 1215926928 | Scg Durant Four Seasons LLC | Skilled Nursing Facility | 1212 Four Seasons Dr, Durant, OK 74701-2430 | 2005-10-14 |
| 1134118847 | Four Seasons Nursing Center of Durant, Inc. | Skilled Nursing Facility | 1401 N Washington Ave, Durant, OK 74701-2111 | 2005-10-14 |
| 1134420284 | Durant Healthcare LLC | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960940 | Memory Care Center At Emerald, LLC | Skilled Nursing Facility | 2700 Hickory St, Claremore, OK 74017-1214 | 2018-11-07 |
| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1376993071 | Henryetta Community Skilled Healthcare and Rehab, LLC | Skilled Nursing Facility | 212 N Antes Ave, Henryetta, OK 74437-7331 | 2016-06-14 |
| 1215382734 | Ok4 Ft. Gibson Opco LLC | Skilled Nursing Facility | 205 E Poplar St, Fort Gibson, OK 74434-8272 | 2016-05-03 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1255702791 | Tidwell Family Healthcare, LLC | Skilled Nursing Facility | 1209 W Main St, Quinton, OK 74561 | 2015-10-09 |
| 1033586664 | Colonial Park Manor, LLC | Skilled Nursing Facility | 600 W. Frontage Road, Okemah, OK 74859-6433 | 2015-08-31 |
| 1770963092 | Binger Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 516 North Broadway, Binger, OK 73009-5002 | 2015-06-02 |
| 1467843177 | Summers Health Services, LLC | Skilled Nursing Facility | 119 N. 6th St, Okeene, OK 73763 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
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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.