PEAK MEDICAL OKLAHOMA NO. 3, INC. (NPI# 1225084270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225084270 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL OKLAHOMA NO. 3, INC. |
| Other Organization Name | FOREST HILLS CARE AND REHABILITATION CENTER |
| Practice Address |
4300 W Houston St Broken Arrow OK 74012-4519 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 9182545000 |
| Practice Fax Number | 9182502538 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | NH72447244 | OK | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH72447244 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Forest Hills Care and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | PEAK MEDICAL OKLAHOMA NO. 3, INC. | 1209 Orange St, Wilmington, DE 19801 |
| Street Address |
4300 W HOUSTON ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895020 | Ngoc-thu Thi Phung | Nurse Practitioner | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2020-06-11 |
| 1972049302 | Jessica Katzer | Physical Therapist | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2017-01-09 |
| 1326584855 | Haley Sims | Speech-Language Pathologist | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2017-01-08 |
| 1972840486 | Jodie Stuckey | Physical Therapy Assistant | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2013-01-04 |
| 1801133368 | Chassity Rubert | Physical Therapy Assistant | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2013-01-03 |
| 1295071157 | Shila Stone | Occupational Therapy Assistant | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-21 |
| 1184960049 | Saundra Fite | Physical Therapy Assistant | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-21 |
| 1831435700 | Jan Maria Brown | Occupational Therapist | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-21 |
| 1356687214 | Elizabeth Suzanne Howard | Speech-Language Pathologist | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-21 |
| 1548506454 | Rebecca Susan Kruse | Occupational Therapy Assistant | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
|---|---|---|---|---|
| 1245348085 | Village Health Care Center Inc | Skilled Nursing Facility | 1709 S Main St, Broken Arrow, OK 74012-6502 | 2006-08-29 |
| 1841288727 | Parks Edge Care Center Inc | Skilled Nursing Facility | 1251 W Houston St, Broken Arrow, OK 74012-3734 | 2005-10-13 |
| 1154944940 | Village Ba Operations LLC | Skilled Nursing Facility | 1709 S Main St, Broken Arrow, OK 74012-6502 | 2020-05-27 |
| 1164940029 | City of Sapulpa | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2017-08-31 |
| 1750768966 | Franciscan Villa LLC | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2015-04-27 |
| 1770829806 | Forest Hills Health Care | Skilled Nursing Facility | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-18 |
| 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 | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.