QUAIL RIDGE SENIOR DEVELOPMENT, LLC (NPI# 1942814983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942814983 |
| Entity Type | Organization |
| Organization Name | QUAIL RIDGE SENIOR DEVELOPMENT, LLC |
| Practice Address |
12401 Trail Oaks Dr Oklahoma City OK 73120-1701 |
| Practice Telephone | 4057555775 |
| Mailing Telephone | 4057555775 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MR. JONATHAN R LEVEY (MANAGING MEMBER) |
| Authorized Official Telephone | 2137059397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Other Name | Type Code |
|---|---|
| Quail Ridge Senior Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497944292 | Quail Ridge Senior Development, LLC | Assisted Living Facility | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2007-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | QUAIL RIDGE SENIOR DEVELOPMENT, LLC | 1 Mcknight Pl, G50, Saint Louis, MO 63124 |
| Street Address |
12401 TRAIL OAKS DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497944292 | Quail Ridge Senior Development, LLC | Assisted Living Facility | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2007-10-17 |
| 1659864072 | Stephen Sheffield | Physical Therapist | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2018-06-11 |
| 1750878716 | Ana Maria Bohrmann | Occupational Therapist | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2018-04-16 |
| 1083123624 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1184951329 | Community Counseling | Assisted Living Facility | 1700 Nw 17th St, Oklahoma City, OK 73106-4212 | 2009-11-09 |
| 1184951352 | Hav -tap, Inc. | Assisted Living Facility | 4100 Newport Ave, Oklahoma City, OK 73112-6334 | 2009-11-09 |
| 1114181831 | Oklahoma Assisted Living, Ltd. | Assisted Living Facility | 14300 N Portland Ave, Oklahoma City, OK 73134-4030 | 2008-07-11 |
| 1023271798 | Saint Ann Retirement Center | Assisted Living Facility | 7501 W Britton Rd, Oklahoma City, OK 73132-1602 | 2008-07-03 |
| 1124294541 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2435 Nw 122nd St, Oklahoma City, OK 73120-8424 | 2008-05-06 |
| 1942476841 | Kgc Operator, Inc. | Assisted Living Facility | 10001 S May Ave, Oklahoma City, OK 73159-6600 | 2008-05-01 |
| 1083880983 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 12401 Dorset Dr, Oklahoma City, OK 73120-9190 | 2008-05-01 |
| 1447426259 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2500 Sw 89th St, Oklahoma City, OK 73159-6354 | 2008-05-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on QUAIL RIDGE SENIOR DEVELOPMENT, 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.