BRIDGEWOOD OKC, LLC (NPI# 1699110700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699110700 |
| Entity Type | Organization |
| Organization Name | BRIDGEWOOD OKC, LLC |
| Other Organization Name | VILLAGE ON THE PARK-OKLAHOMA CITY |
| Practice Address |
1515 Kingsridge Dr Oklahoma City OK 73170-4475 |
| Mailing Address |
211 E Parkwood Ave Ste 100 Friendswood TX 77546-5152 |
| Practice Telephone | 4056928700 |
| Mailing Telephone | 2819960101 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | PATRICIA E. COOK (PARALEGAL) |
| Authorized Official Telephone | 2819960101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Village on the Park-Oklahoma City | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | BRIDGEWOOD OKC, LLC | 1209 Orange St, Wilmington, DE 19801 |
| Street Address |
1515 KINGSRIDGE DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| 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 | 73170 |
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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.