TEAL CREEK LIFE CARE COMMUNITY INC


Address: 13501 N. Bryant Ave., Edmond, OK 73013
Phone: 4053128050

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility AL5541 OK Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Teal Creek Assisted Living Doing Business As Name - Organization

Office Location

Street Address 13501 N. BRYANT AVE.
City EDMOND
State OK
Zip Code 73013

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City EDMOND
Zip Code 73013

Improve Information

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Dataset Information

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.

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