TEAL CREEK LIFE CARE COMMUNITY INC (NPI# 1396279808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396279808 |
Entity Type | Organization |
Organization Name | TEAL CREEK LIFE CARE COMMUNITY INC |
Other Organization Name | TEAL CREEK ASSISTED LIVING |
Practice Address |
13501 N. Bryant Ave. Edmond OK 73013 |
Practice Telephone | 4053128050 |
Practice Fax Number | 8665426483 |
Mailing Telephone | 4053128050 |
Mailing Fax Number | 8665426483 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |
Authorized Official Name | GREGORY LANCE GUYMON (COO) |
Authorized Official Telephone | 4053128050 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL5541 | OK | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Teal Creek Assisted Living | Doing Business As Name - Organization |
Street Address |
13501 N. BRYANT AVE. |
City | EDMOND |
State | OK |
Zip Code | 73013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
Find all providers in zip 73013 |
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 |
---|---|---|---|---|
1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
1023284445 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1500 N Santa Fe Ave, Edmond, OK 73003-3639 | 2008-05-06 |
1689840597 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 116 W Danforth Rd, Edmond, OK 73003-5280 | 2008-05-01 |
1477919959 | Heartsworth Senior Living, LLC | Assisted Living Facility | 3325 French Park Dr, Edmond, OK 73034-7277 | 2016-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
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 |
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 |
1629335773 | Grandwood Assisted Living, Lc | Assisted Living Facility | 2001 Sunrise Blvd, Grove, OK 74344-3617 | 2012-04-13 |
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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.