D E K MANAGEMENT LLC (NPI# 1629001409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629001409 |
| Entity Type | Organization |
| Organization Name | D E K MANAGEMENT LLC |
| Other Organization Name | NORTHSIDE NURSING HOME |
| Practice Address |
102 E Line Ave Sapulpa OK 74066-2858 |
| Mailing Address |
10842 S 137th West Ave Sapulpa OK 74066-6737 |
| Practice Telephone | 9182240833 |
| Practice Fax Number | 9182272405 |
| Mailing Telephone | 9182240833 |
| Mailing Fax Number | 9182272405 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | MR. ERNEST M JOHNSON III (ADMINISTRATOR/MANAGING MEMBER) |
| Authorized Official Telephone | 9182240833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH1902-1902 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200044850A | 05 |
| Other Name | Type Code |
|---|---|
| NORTHSIDE NURSING HOME | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | D E K MANAGEMENT LLC | 102 E Line Ave, Sapulpa, OK 74066-2858 |
| Street Address |
102 E LINE AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609394519 | City of Sapulpa | Skilled Nursing Facility | 102 E Line Ave, Sapulpa, OK 74066-2858 | 2017-08-31 |
| 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 | 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 |
|---|---|---|---|---|
| 1780694711 | Phoenix Healthcare LLC | Nursing Facility/Intermediate Care Facility | 1165 S. Brenner Rd, Sapulpa, OK 74066-6141 | 2006-08-09 |
| 1043209992 | Ranch Terrace Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 1310 E Cleveland Ave, Sapulpa, OK 74066-4829 | 2005-10-13 |
| 1518297654 | Arbor Village Nursing, LLC | Nursing Facility/Intermediate Care Facility | 310 W Taft St, Sapulpa, OK 74066-5437 | 2010-01-13 |
| 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.