EMERALD SQUARE ASSISTED LIVING, LLC (NPI# 1306068432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306068432 |
Entity Type | Organization |
Organization Name | EMERALD SQUARE ASSISTED LIVING, LLC |
Other Organization Name | EMERALD SQUARE |
Practice Address |
701 North Council Road Oklahoma City OK 73127 |
Mailing Address |
3723 Fairview Industrail Dr Se Suite 270 Salem OR 97302 |
Practice Telephone | 4057874466 |
Mailing Telephone | 5034854600 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JON HARDER (MANAGER) |
Authorized Official Telephone | 5034854600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Emerald Square | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | EMERALD SQUARE ASSISTED LIVING, LLC | 3723 Fairview Industrial Dr Se, Salem, OR 97302 |
Street Address |
701 NORTH COUNCIL ROAD |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
1598859167 | Lauri J. Bowles | Occupational Therapist | 1908 N. Davis, Oklahoma City, OK 73127 | 2006-10-03 |
Find all providers in zip 73127 |
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 |
---|---|---|---|---|
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 |
1184951329 | Community Counseling | Assisted Living Facility | 1700 Nw 17th St, Oklahoma City, OK 73106-4212 | 2009-11-09 |
1184951352 | Hav -tap, Inc. | Assisted Living Facility | 4100 Newport Ave, Oklahoma City, OK 73112-6334 | 2009-11-09 |
1114181831 | Oklahoma Assisted Living, Ltd. | Assisted Living Facility | 14300 N Portland Ave, Oklahoma City, OK 73134-4030 | 2008-07-11 |
1023271798 | Saint Ann Retirement Center | Assisted Living Facility | 7501 W Britton Rd, Oklahoma City, OK 73132-1602 | 2008-07-03 |
1124294541 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2435 Nw 122nd St, Oklahoma City, OK 73120-8424 | 2008-05-06 |
1942476841 | Kgc Operator, Inc. | Assisted Living Facility | 10001 S May Ave, Oklahoma City, OK 73159-6600 | 2008-05-01 |
1083880983 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 12401 Dorset Dr, Oklahoma City, OK 73120-9190 | 2008-05-01 |
1447426259 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2500 Sw 89th St, Oklahoma City, OK 73159-6354 | 2008-05-01 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73127 |
Please comment or provide details below to improve the information on EMERALD SQUARE ASSISTED LIVING, LLC.
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.