PHOENIX HEALTHCARE LLC (NPI# 1356454094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356454094 |
| Entity Type | Organization |
| Organization Name | PHOENIX HEALTHCARE LLC |
| Other Organization Name | GROVE NURSING CENTER |
| Practice Address |
1503 Har-ber Rd Grove OK 74344-3525 |
| Mailing Address |
1503 W Har-ber Rd Grove OK 74344 |
| Practice Telephone | 9187863223 |
| Practice Fax Number | 9187862664 |
| Mailing Telephone | 9187863223 |
| Mailing Fax Number | 9187862664 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MR. LES TALLMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 9187863223 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2106-2106 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200040930F | 05 |
| Other Name | Type Code |
|---|---|
| Grove Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780694711 | Phoenix Healthcare LLC | Nursing Facility/Intermediate Care Facility | 1165 S. Brenner Rd, Sapulpa, OK 74066-6141 | 2006-08-09 |
| 1740296490 | Phoenix Healthcare LLC | Skilled Nursing Facility | 3601 N Columbia Ave, Tulsa, OK 74110-1232 | 2006-08-01 |
| 1891700761 | Phoenix Healthcare LLC | Skilled Nursing Facility | 5701 W Britton Rd, Oklahoma City, OK 73132-2402 | 2006-07-29 |
| 1104830421 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1944 N Iroquois Ave, Tulsa, OK 74106-4407 | 2006-07-29 |
| 1366493066 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1235 Yancey St, Roanoke, AL 36274-2141 | 2006-05-15 |
| 1780687590 | Phoenix Healthcare LLC | Skilled Nursing Facility | 10912 E 14th St, Tulsa, OK 74128-4845 | 2005-05-24 |
| 1275712002 | Phoenix Healthcare LLC | Skilled Nursing Facility | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2007-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Phoenix Healthcare LLC | 52 Riley Road, #318, Celebration, FL 34747 |
| North Carolina Corporations | Phoenix Healthcare LLC | 176 Mine Lake Court Suite 100, Raleigh, NC 27615-6417 |
| Street Address |
1503 HAR-BER RD |
| City | GROVE |
| State | OK |
| Zip Code | 74344-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| 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 |
|---|---|---|---|---|
| 1306455696 | Global Higher Call Nursing, LLC | Nursing Facility/Intermediate Care Facility | 407 Whitebird St, Quapaw, OK 74363-0912 | 2020-07-23 |
| 1336641786 | Sherri Geanette Hilburn | Nursing Facility/Intermediate Care Facility | 225 N. Broadway, Carnegie, OK 73015 | 2018-03-01 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1659773778 | First Choice Home Medical Inc | Nursing Facility/Intermediate Care Facility | 720 N Galena Ave, Geary, OK 73040-1501 | 2014-09-19 |
| 1467852244 | Jlg Healthcare LLC | Nursing Facility/Intermediate Care Facility | 811 W Elk, Duncan, OK 73533-1196 | 2014-08-28 |
| 1720326622 | Integris Rehab LLC | Nursing Facility/Intermediate Care Facility | 14145 S 220th East Ave, Coweta, OK 74429-6269 | 2013-01-28 |
| 1053617761 | Colonial Park Healthcare Center LLC | Nursing Facility/Intermediate Care Facility | 600 W Frontage Rd, Okemah, OK 74859-6433 | 2011-01-28 |
| 1851562136 | Thomas Health and Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 601 East Frisco Street, Thomas, OK 73669 | 2008-03-14 |
| 1770768566 | Cox Building Company, Inc. | Nursing Facility/Intermediate Care Facility | 3501 W Washington St, Broken Arrow, OK 74012-9196 | 2007-12-31 |
| 1477745834 | Rehabcare | Nursing Facility/Intermediate Care Facility | 300 Rockefeller, Muskogee, OK 74401-5235 | 2007-08-09 |
| 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.