ARBOR VILLAGE NURSING, LLC (NPI# 1790197747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197747 |
| Entity Type | Organization |
| Organization Name | ARBOR VILLAGE NURSING, LLC |
| Other Organization Name | NORTHSIDE NURSING HOME |
| Practice Address |
3325 French Park Dr Suite 6 Edmond OK 73034-7277 |
| Mailing Address |
102 E Line Ave Sapulpa OK 74066-2858 |
| Practice Telephone | 4052858166 |
| Practice Fax Number | 4055639447 |
| Mailing Telephone | 9182240833 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | SCOTT PILGRIM (MEMBER) |
| Authorized Official Telephone | 4052858166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH1902 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Northside Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518297654 | Arbor Village Nursing, LLC | Nursing Facility/Intermediate Care Facility | 310 W Taft St, Sapulpa, OK 74066-5437 | 2010-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ARBOR VILLAGE NURSING, LLC | 310 W Taft St, Sapulpa, OK 74066-5437 |
| Street Address |
3325 FRENCH PARK DR SUITE 6 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255871703 | Kelley Bailey, Pllc | Counselor | 3325 French Park Dr, Suite 9, Edmond, OK 73034-7277 | 2017-03-02 |
| 1477919959 | Heartsworth Senior Living, LLC | Assisted Living Facility | 3325 French Park Dr, Edmond, OK 73034-7277 | 2016-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1992104293 | Bkd Bradford Village Opco LLC | Skilled Nursing Facility | 906 N Boulevard, Edmond, OK 73034-3655 | 2014-08-22 |
| 1669492963 | Ihs Acquisition No. 100, Inc. | Skilled Nursing Facility | 1100 E 9th St, Edmond, OK 73034-5705 | 2006-07-20 |
| 1851336614 | Asf of Edmond LLC | Skilled Nursing Facility | 906 N Boulevard St, Edmond, OK 73034-3655 | 2006-06-17 |
| 1457975344 | Oai Operations LLC | Skilled Nursing Facility | 3325 French Park Dr Ste 6, Edmond, OK 73034-7265 | 2020-06-05 |
| 1285146266 | Bv Operations, LLC | Skilled Nursing Facility | 906 N Boulevard, Edmond, OK 73034 | 2017-10-30 |
| 1447521562 | Edmond Health and Rehabilitation, LLC | Skilled Nursing Facility | 1100 E 9th St, Edmond, OK 73034-5705 | 2012-01-20 |
| 1902054059 | Bryant Healthcare LLC | Skilled Nursing Facility | 1100 E 9th St, Edmond, OK 73034-5705 | 2008-09-03 |
| 1770792533 | Foundation Medical Staffing | Skilled Nursing Facility | 416 W 15th St, Building 700, Edmond, OK 73013-3747 | 2007-05-21 |
| 1255425898 | Timberlane Manor, LLC | Skilled Nursing Facility | 2520 South Rankin, Edmond, OK 73013 | 2006-10-03 |
| 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 ARBOR VILLAGE NURSING, LLC.
| 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.