UNITED SENIOR PROPERTIES OF SEMINOLE, LLC (NPI# 1730507658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730507658 |
| Entity Type | Organization |
| Organization Name | UNITED SENIOR PROPERTIES OF SEMINOLE, LLC |
| Other Organization Name | AVONLEA COTTAGE OF SEMINOLE |
| Practice Address |
2207 West Wrangler Blvd Seminole OK 74868 |
| Practice Telephone | 4053824450 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | PAUL THOMA (MEMBER) |
| Authorized Official Telephone | 9134927800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AI6701 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avonlea Cottage of Seminole | Doing Business As Name - Organization |
| Street Address |
2207 WEST WRANGLER BLVD |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1760487243 | Tricia Lee Butner | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 | 2005-06-20 |
| 1710339536 | Melissa Ann Harris | Emergency Medicine | 2401 W Wrangler Blvd, Seminole, OK 74868 | 2016-07-05 |
| Find all providers in zip 74868 | ||||
| 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 |
|---|---|---|---|---|
| 1598237695 | Nicetas Gagan Mora | Assisted Living Facility | 9670 134th St, Seminole, FL 33776-1447 | 2018-12-30 |
| 1679998207 | Christine Gibree | Assisted Living Facility | 7770 128th St, Seminole, FL 33776-4100 | 2014-02-18 |
| 1417378738 | Roy Brito | Assisted Living Facility | 7555 131st St, Seminole, FL 33776-4010 | 2014-01-05 |
| 1801217914 | Island Splendor Alf Inc. | Assisted Living Facility | 9057 109th Ave, Seminole, FL 33777-1115 | 2013-12-17 |
| 1770911042 | Silmar Pastor Corp | Assisted Living Facility | 11177 70th Ave, Seminole, FL 33772-6311 | 2013-10-24 |
| 1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
| 1003175936 | A Safe Haven Assisted Living, LLC | Assisted Living Facility | 9000 86th Ave, Seminole, FL 33777-2641 | 2012-05-13 |
| 1679720270 | Arden Courts of Seminole Fl LLC | Assisted Living Facility | 9300 Antilles Dr, Seminole, FL 33776-2153 | 2008-08-26 |
| 1215043427 | Lake Balaton, Inc. | Assisted Living Facility | 9225 82nd Avenue N., Suite 312, Seminole, FL 33777-2821 | 2006-08-21 |
| 1124649793 | Ngm & Sons, LLC | Assisted Living Facility | 9670 134th St, Seminole, FL 33776-1447 | 2020-05-05 |
| Find all providers in SEMINOLE | ||||
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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.