QUAIL RIDGE LIVING CENTER INC (NPI# 1396841094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396841094 |
| Entity Type | Organization |
| Organization Name | QUAIL RIDGE LIVING CENTER INC |
| Practice Address |
564 State Line Rd Colcord OK 74338 |
| Mailing Address |
Po Box 1005 Siloam Springs AR 72761 |
| Practice Telephone | 9184225139 |
| Practice Fax Number | 9184229998 |
| Mailing Telephone | 9184225139 |
| Mailing Fax Number | 9184229998 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LINDA LEA CARTER (ADMINISTRATOR) |
| Authorized Official Telephone | 9184225139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH21052105 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 000375175001 | 01 |
| Street Address |
564 STATE LINE RD |
| City | COLCORD |
| State | OK |
| Zip Code | 74338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750945903 | Jennifer L Mitchell | Registered Nurse | 644 State Line Rd, Colcord, OK 74338 | 2019-04-23 |
| 1780739011 | Colcord Public Schools | Local Education Agency (LEA) | 433 South Larmon St, Colcord, OK 74338 | 2007-01-25 |
| 1457839490 | Michele Tobey | Nurse Practitioner | 2230 Highway 412, Colcord, OK 74338-1308 | 2018-08-01 |
| 1417248246 | Sequoyah Living Centers, Inc. | Assisted Living Facility | 434 Stateline Rd, Colcord, OK 74338-1340 | 2011-04-27 |
| 1508893546 | John Douglas Smiley | Chiropractor | 768 Stateline Rd, Colcord, OK 74338-1346 | 2006-06-26 |
| 1164857025 | A Voice for Children | Community/Behavioral Health | 802 Stateline Rd, Colcord, OK 74338-1348 | 2013-09-11 |
| 1811293699 | Deborah J Harris | Counselor | 820 Stateline Rd Ste B, Colcord, OK 74338-1348 | 2011-01-27 |
| 1124065479 | Susan A Vaughan | Optometrist | 820 Stateline Rd, Colcord, OK 74338-1348 | 2006-06-02 |
| 1982978623 | New Creation Counseling Center | Community/Behavioral Health | 820 Stateline Rd Ste B, Colcord, OK 74338-1348 | 2012-02-27 |
| 1487958492 | My Family Eyecare, Ltd., P.C. | Optometrist | 820 Stateline Rd, Colcord, OK 74338-1348 | 2011-01-05 |
| Find all providers in zip 74338 | ||||
| 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 |
|---|---|---|---|---|
| 1861960940 | Memory Care Center At Emerald, LLC | Skilled Nursing Facility | 2700 Hickory St, Claremore, OK 74017-1214 | 2018-11-07 |
| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1376993071 | Henryetta Community Skilled Healthcare and Rehab, LLC | Skilled Nursing Facility | 212 N Antes Ave, Henryetta, OK 74437-7331 | 2016-06-14 |
| 1215382734 | Ok4 Ft. Gibson Opco LLC | Skilled Nursing Facility | 205 E Poplar St, Fort Gibson, OK 74434-8272 | 2016-05-03 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1255702791 | Tidwell Family Healthcare, LLC | Skilled Nursing Facility | 1209 W Main St, Quinton, OK 74561 | 2015-10-09 |
| 1033586664 | Colonial Park Manor, LLC | Skilled Nursing Facility | 600 W. Frontage Road, Okemah, OK 74859-6433 | 2015-08-31 |
| 1770963092 | Binger Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 516 North Broadway, Binger, OK 73009-5002 | 2015-06-02 |
| 1467843177 | Summers Health Services, LLC | Skilled Nursing Facility | 119 N. 6th St, Okeene, OK 73763 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on QUAIL RIDGE LIVING CENTER INC.
| 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.