ST. JOHN VILLAS INC. (NPI# 1356452908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356452908 |
| Entity Type | Organization |
| Organization Name | ST. JOHN VILLAS INC. |
| Other Organization Name | FRANCES STREITEL VILLA |
| Practice Address |
2300 W Broadway St Collinsville OK 74021-1625 |
| Mailing Address |
2300 West Broadway Collinsville OK 74021-1625 |
| Practice Telephone | 9183712545 |
| Practice Fax Number | 9183712738 |
| Mailing Telephone | 9183712545 |
| Mailing Fax Number | 9183712738 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | MR. DONALD W PEARCE (ADMINISTRATOR) |
| Authorized Official Telephone | 9183712545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NH7207-7207 | OK | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 375504 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100777580A | 05 |
| Other Name | Type Code |
|---|---|
| Frances Streitel Villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538232483 | St. John Villas Inc. | Assisted Living Facility | 523 N 22nd St, Collinsville, OK 74021-1636 | 2006-11-16 |
| Street Address |
2300 W BROADWAY ST |
| City | COLLINSVILLE |
| State | OK |
| Zip Code | 74021-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113771 | Erika Dawn Rector | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2020-01-19 |
| 1720506702 | City of Sapulpa | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2017-08-30 |
| 1538400452 | North County Senior Living, LLC | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2013-03-04 |
| 1770828295 | Leslyn Ann Sutton | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2012-12-10 |
| 1407191422 | Donna Jean Berryhill | Physical Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2012-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982194254 | Bonnie J Johnston | Registered Nurse | 526 E Center St, Collinsville, OK 74021 | 2018-05-12 |
| 1508218959 | Constance Rogers | Family Medicine | 1205 W Main St, Collinsville, OK 74021 | 2016-07-11 |
| 1922597020 | Catherine Eimer | Case Manager/Care Coordinator | 18492 S View Point Ct, Collinsville, OK 74021-1516 | 2018-05-03 |
| 1982001756 | Julia Profit | Registered Nurse | 215 N 20th St, Collinsville, OK 74021-1604 | 2014-11-21 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1538232483 | St. John Villas Inc. | Assisted Living Facility | 523 N 22nd St, Collinsville, OK 74021-1636 | 2006-11-16 |
| 1164825808 | North County Senior Living LLC | Assisted Living Facility | 523 N 22nd St, Collinsville, OK 74021-1636 | 2014-10-08 |
| 1326318213 | Stephanie Ann Ivey | Counselor | 805 N 12th St, Collinsville, OK 74021-2025 | 2012-01-09 |
| 1083861967 | Christian K. Ericksen | Chiropractor | 124 N 10th St, Collinsville, OK 74021-2318 | 2008-08-22 |
| 1679950380 | Janell Lundgren | Specialist | 1001 W Maple St, Collinsville, OK 74021-2326 | 2015-05-01 |
| Find all providers in zip 74021 | ||||
| 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 |
|---|---|---|---|---|
| 1265532022 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62234 | 2006-09-22 |
| 1467406298 | Collinsville Nursing Home, Inc | Skilled Nursing Facility | 685 North Valley Ave, Collinsville, AL 35961 | 2006-05-19 |
| 1447883608 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 Summit Ave, Collinsville, IL 62234-3728 | 2020-02-17 |
| 1720506702 | City of Sapulpa | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2017-08-30 |
| 1205239266 | Jack County Hospital District | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2014-10-06 |
| 1518300292 | New Horizons, Inc. | Skilled Nursing Facility | 102 Dyer Ave, Collinsville, CT 06019-3236 | 2013-04-11 |
| 1538400452 | North County Senior Living, LLC | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2013-03-04 |
| 1922202357 | Collinsville Long Term Care, LLC | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2007-06-11 |
| 1134345168 | First Caremerica | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62034 | 2007-04-18 |
| 1568528560 | Pyramid Healthcare Corp. | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2006-12-28 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 74021 |
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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.