RED BUD ASSISTED LIVING LLC (NPI# 1144834482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144834482 |
| Entity Type | Organization |
| Organization Name | RED BUD ASSISTED LIVING LLC |
| Practice Address |
215 W Freeman Ave Perkins OK 74059-5600 |
| Mailing Address |
Po Box 1095 Guthrie OK 73044-1095 |
| Practice Telephone | 4055478311 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | TANDIE HASTINGS (PRESIDENT) |
| Authorized Official Telephone | 4052826285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | ASSISTED LIVING CENTER LICENSE FROM STATE OF OKLAHOMA | AL6006-6006 | 01 |
| Street Address |
215 W FREEMAN AVE |
| City | PERKINS |
| State | OK |
| Zip Code | 74059-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760922777 | Alesha Smith | Technician | 103 S.w. 2nd, Perkins, OK 74059 | 2017-02-24 |
| 1255873634 | Pamela Casey | Technician | 103 Sw 2nd, 103 Sw 2nd, Perkins, OK 74059 | 2016-11-16 |
| 1306273156 | Michael Hood | Specialist | 907 Sadler Rd, Perkins, OK 74059 | 2013-10-10 |
| 1831337526 | Joy Elizabeth Carr | Chiropractor | 509 E Hwy 33, Perkins, OK 74059 | 2009-02-03 |
| 1487708848 | Stuart Ross Hershberger | Chiropractor | 301 Est Hwy. 33, Perkins, OK 74059 | 2007-01-23 |
| 1104872456 | Iowa Tribe of Oklahoma | Clinic/Center | 501 E Highway 33, Perkins, OK 74059 | 2006-05-26 |
| 1720528730 | Stacie Seever | Technician | 103 Sw 2nd, Perkins, OK 74059 | 2017-02-24 |
| 1245772623 | Amanda Dawes | Technician | 103 Sw 2nd, Perkins, OK 74059 | 2016-11-16 |
| 1194267518 | Sarah Keathley | Technician | 103 Sw 2nd, 103 Sw 2nd, Perkins, OK 74059 | 2016-11-16 |
| 1740722156 | Lynda Leach | Technician | 103 Sw 2nd, Perkins, OK 74059 | 2016-11-16 |
| Find all providers in zip 74059 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1508270380 | Heatheridge Health Care, LLC | Assisted Living Facility | 2130 S 85th East Ave, Tulsa, OK 74129-3066 | 2014-06-19 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
| 1740526474 | Forest Hills Alf LLC | Assisted Living Facility | 4304 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-28 |
| 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.