SPANISH COVE HOUSING AUTHORITY (NPI# 1982947172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982947172 |
| Entity Type | Organization |
| Organization Name | SPANISH COVE HOUSING AUTHORITY |
| Other Organization Name | SPANISH COVE RETIREMENT VILLAGE |
| Practice Address |
11 Palm Ave Yukon OK 73099-5645 |
| Practice Telephone | 4053541901 |
| Practice Fax Number | 4053546584 |
| Mailing Telephone | 4053541901 |
| Mailing Fax Number | 4053546584 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | DONALD N. BLOSE (CEO & EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 4053541901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CC0901-0901 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spanish Cove Retirement Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851789069 | Spanish Cove Housing Authority | Home Health | 11 Palm Ave, Yukon, OK 73099-5645 | 2014-12-23 |
| 1841577905 | Spanish Cove Housing Authority | Custodial Care Facility | 11 Palm Ave, Yukon, OK 73099-5645 | 2011-11-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SPANISH COVE HOUSING AUTHORITY | 11 Palm Ave, Yukon, OK 73099 |
| Street Address |
11 PALM AVE |
| City | YUKON |
| State | OK |
| Zip Code | 73099-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023020641 | Kyle W Rickner | Family Medicine | 11 Palm Ave, Yukon, OK 73099-5645 | 2006-08-12 |
| 1528429669 | Kyle Rickner PC | Family Medicine | 11 Palm Ave, Yukon, OK 73099-5645 | 2016-03-17 |
| 1851789069 | Spanish Cove Housing Authority | Home Health | 11 Palm Ave, Yukon, OK 73099-5645 | 2014-12-23 |
| 1841577905 | Spanish Cove Housing Authority | Custodial Care Facility | 11 Palm Ave, Yukon, OK 73099-5645 | 2011-11-03 |
| 1316234073 | Allyson Ciesielski | Physical Therapist | 11 Palm Ave, Yukon, OK 73099-5645 | 2011-07-01 |
| 1588816227 | Deanna Whittle | Physical Therapist | 11 Palm Ave, Yukon, OK 73099-5645 | 2008-10-14 |
| 1649487943 | Kristi R. Storts | Physical Therapist | 11 Palm Ave, Yukon, OK 73099-5645 | 2007-05-17 |
| 1437364437 | Gracy George Isaac | Occupational Therapist | 11 Palm Ave, Yukon, OK 73099-5645 | 2007-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| 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 |
|---|---|---|---|---|
| 1477533487 | City of Pauls Valley | Skilled Nursing Facility | 824 S Yukon Pkwy, Yukon, OK 73099-4584 | 2006-01-18 |
| 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 | ||||
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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.