PHOENIX HEALTHCARE LLC (NPI# 1891700761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891700761 |
Entity Type | Organization |
Organization Name | PHOENIX HEALTHCARE LLC |
Other Organization Name | THE LAKES CARE CENTER |
Practice Address |
5701 W Britton Rd Oklahoma City OK 73132-2402 |
Practice Telephone | 4057738900 |
Practice Fax Number | 4057205825 |
Mailing Telephone | 4057738900 |
Mailing Fax Number | 4057205825 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2008-08-08 |
Authorized Official Name | MRS. CHRYSTAL WEST (BUSINESS OFFICE) |
Authorized Official Telephone | 9187433638 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | NH5519-5519 | OK | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200040930G | 05 |
Other Name | Type Code |
---|---|
The Lakes Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356454094 | Phoenix Healthcare LLC | Nursing Facility/Intermediate Care Facility | 1503 Har-ber Rd, Grove, OK 74344-3525 | 2006-08-16 |
1780694711 | Phoenix Healthcare LLC | Nursing Facility/Intermediate Care Facility | 1165 S. Brenner Rd, Sapulpa, OK 74066-6141 | 2006-08-09 |
1740296490 | Phoenix Healthcare LLC | Skilled Nursing Facility | 3601 N Columbia Ave, Tulsa, OK 74110-1232 | 2006-08-01 |
1104830421 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1944 N Iroquois Ave, Tulsa, OK 74106-4407 | 2006-07-29 |
1366493066 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1235 Yancey St, Roanoke, AL 36274-2141 | 2006-05-15 |
1780687590 | Phoenix Healthcare LLC | Skilled Nursing Facility | 10912 E 14th St, Tulsa, OK 74128-4845 | 2005-05-24 |
1275712002 | Phoenix Healthcare LLC | Skilled Nursing Facility | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2007-10-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Phoenix Healthcare LLC | 52 Riley Road, #318, Celebration, FL 34747 |
North Carolina Corporations | Phoenix Healthcare LLC | 176 Mine Lake Court Suite 100, Raleigh, NC 27615-6417 |
Street Address |
5701 W BRITTON RD |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73132-2402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790348266 | Solid Rock Home Care Assistance LLC | Registered Nurse | 6408 Galaxie Dr., Oklahoma City, OK 73132 | 2019-04-19 |
1427525443 | Allison Latham | Counselor | 6812 St. Pl., Oklahoma City, OK 73132 | 2018-10-29 |
1811426182 | Larry D. Brown | Counselor | 4717 Nw 70th St., Oklahoma City, OK 73132 | 2017-06-08 |
1639600307 | Tram Nguyen | Physician Assistant | 500 Sw44th Street, Oklahoma City, OK 73132 | 2017-03-24 |
1386190973 | Moneka Jeffers | Counselor | 8117 Nw 81st St, Oklahoma City, OK 73132 | 2016-09-01 |
1861873085 | Express Family Care LLC | Clinic/Center | 7117 W. Wilshire Blvd, Oklahoma City, OK 73132 | 2015-06-12 |
1689941809 | Ade A Bajulaiye | Psychologist | 8122 N.w. 78th Ter, Okc, Oklahoma, OK 73132 | 2011-11-17 |
1457633281 | Chandell Bell | Counselor | 6908 Woodlake Dr, Okc, OK 73132 | 2011-09-19 |
1588944615 | Jason Bennell Rayfield | Social Worker | 7221 Edenborough, Oklahoma City, OK 73132 | 2011-08-20 |
1952600785 | Derell Jovan Spires | Counselor | 9242 North Mcarthur Blvd Apt A, Oklahoma City, OK 73132 | 2011-03-18 |
Find all providers in zip 73132 |
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 |
---|---|---|---|---|
1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
1376775957 | Manor Care of Oklahoma City (northwest) LLC | Skilled Nursing Facility | 5301 N Brookline Ave, Oklahoma City, OK 73112-3516 | 2009-08-17 |
1902030570 | City of Pauls Valley | Skilled Nursing Facility | 2333 Tuscany Blvd, Oklahoma City, OK 73120-3702 | 2009-05-11 |
1982885265 | Lutheran Senior Citizens, Inc | Skilled Nursing Facility | 7707 W Britton Rd, Oklahoma City, OK 73132-1512 | 2007-11-15 |
1124156153 | Bellecare Inc. | Skilled Nursing Facility | 2801 Nw 61st St, Oklahoma City, OK 73112-7007 | 2007-03-01 |
1376610972 | Windsor Hills Nursing Center, LLC | Skilled Nursing Facility | 2416 N Ann Arbor Ave, Oklahoma City, OK 73127-1811 | 2006-11-29 |
1407923824 | Warr Acres Nursing Center, LLC | Skilled Nursing Facility | 6501 N Macarthur Blvd, Oklahoma City, OK 73132-6505 | 2006-11-29 |
1851487508 | Edwards Redeemer Nursing Center, LLC | Skilled Nursing Facility | 1530 Ne Grand Blvd, Oklahoma City, OK 73117-5212 | 2006-10-04 |
1295830933 | Brookwood Nursing Center, LLC | Skilled Nursing Facility | 940 Sw 84th St, Oklahoma City, OK 73139-9255 | 2006-09-14 |
1164527727 | Sooner Geriatrics, LLC | Skilled Nursing Facility | 1913 Ne 50th St, Oklahoma City, OK 73111-7003 | 2006-09-14 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73132 |
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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.