CITY OF SAPULPA (NPI# 1609394519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609394519 |
| Entity Type | Organization |
| Organization Name | CITY OF SAPULPA |
| Other Organization Name | BEACON RIDGE NURSING HOME |
| Practice Address |
102 E Line Ave Sapulpa OK 74066-2858 |
| Mailing Address |
Po Box 990 Edmond OK 73083-0990 |
| Practice Telephone | 9182161811 |
| Mailing Telephone | 4052858166 |
| Mailing Fax Number | 4055639447 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | BILL BUSH (CFO) |
| Authorized Official Telephone | 4052858166 |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF SAPULPA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH1902 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSE | NH1902 | 01 |
| Other Name | Type Code |
|---|---|
| Beacon Ridge Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164940029 | City of Sapulpa | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2017-08-31 |
| 1356869242 | City of Sapulpa | Skilled Nursing Facility | 1400 Buena Vista Ave, Midwest City, OK 73110-2604 | 2017-08-31 |
| 1568980431 | City of Sapulpa | Skilled Nursing Facility | 310 W Taft Ave, Sapulpa, OK 74066-5437 | 2017-08-31 |
| 1356869341 | City of Sapulpa | Skilled Nursing Facility | 1200 W Canadian Ave, Vinita, OK 74301-2702 | 2017-08-30 |
| 1720506702 | City of Sapulpa | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2017-08-30 |
| Street Address |
102 E LINE AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001409 | D E K Management LLC | Nursing Facility/Intermediate Care Facility | 102 E Line Ave, Sapulpa, OK 74066-2858 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| 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 |
|---|---|---|---|---|
| 1821085804 | Medi-plex Nursing Centers Inc. | Skilled Nursing Facility | 310 W Taft St, Sapulpa, OK 74066-5437 | 2005-10-04 |
| 1568980431 | City of Sapulpa | Skilled Nursing Facility | 310 W Taft Ave, Sapulpa, OK 74066-5437 | 2017-08-31 |
| 1528429990 | Three Oaks LLC | Skilled Nursing Facility | 1310 E Cleveland Ave, Sapulpa, OK 74066 | 2016-03-14 |
| 1861624157 | Ila Seaton, LLC | Skilled Nursing Facility | 310 W Taft St, Sapulpa, OK 74066-5437 | 2009-08-20 |
| 1811007297 | Propps Consulting LLC | Skilled Nursing Facility | 310 W Taft St, Sapulpa, OK 74066-5437 | 2006-08-30 |
| 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 |
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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.