STILLWATER NURSING CENTER LLC (NPI# 1023113826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023113826 |
| Entity Type | Organization |
| Organization Name | STILLWATER NURSING CENTER LLC |
| Other Organization Name | STILLWATER CREEK SKILLED NURSING AND THERAPY |
| Practice Address |
1215 W 10th Ave Stillwater OK 74074-5420 |
| Practice Telephone | 4053721000 |
| Practice Fax Number | 4053777051 |
| Mailing Telephone | 4053721000 |
| Mailing Fax Number | 4053777051 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | MIKE DIMOND (MANAGER) |
| Authorized Official Telephone | 4059431144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH6004-6004 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100810490B | 05 |
| Other Name | Type Code |
|---|---|
| GRACE LIVING CENTER - STILLWATER | Doing Business As Name - Organization |
| Stillwater Creek Skilled Nursing and Therapy | Doing Business As Name - Organization |
| Street Address |
1215 W 10TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| 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 |
|---|---|---|---|---|
| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1023069119 | Ggnsc Stillwater Linden LLC | Skilled Nursing Facility | 105 Linden St W, Stillwater, MN 55082-4822 | 2006-05-13 |
| 1811948250 | Ggnsc Stillwater Greeley LLC | Skilled Nursing Facility | 313 Greeley St S, Stillwater, MN 55082-7007 | 2006-05-12 |
| 1851376370 | Bonnieville Inc. | Skilled Nursing Facility | 477 Bonnieville Rd, Stillwater, PA 17878-9211 | 2005-12-07 |
| 1912906694 | N&r of Westhaven L L C | Skilled Nursing Facility | 1215 S Western Rd, Stillwater, OK 74074-5151 | 2005-07-15 |
| 1871031344 | Estates At Greeley LLC | Skilled Nursing Facility | 313 Greeley St S, Stillwater, MN 55082-7007 | 2017-02-05 |
| 1598203069 | Estates At Linden LLC | Skilled Nursing Facility | 105 Linden St W, Stillwater, MN 55082-4822 | 2017-02-05 |
| 1154670347 | Synertec | Skilled Nursing Facility | 1119 Owens St N, Stillwater, MN 55082-4316 | 2012-09-03 |
| 1407828908 | Stillwater Medical Center Authority | Skilled Nursing Facility | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-02-07 |
| 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 |
| 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 |
| 1639560337 | Southwest Ltc Temple LLC | Skilled Nursing Facility | 100 West Green Ave, Temple, OK 73568 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.