CITY OF SAPULPA (NPI# 1720506702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720506702 |
| Entity Type | Organization |
| Organization Name | CITY OF SAPULPA |
| Other Organization Name | NORTH COUNTY SENIOR LIVING |
| Practice Address |
2300 W Broadway St Collinsville OK 74021-1625 |
| Mailing Address |
Po Box 990 Edmond OK 73083-0990 |
| Practice Telephone | 9183712545 |
| Practice Fax Number | 9187700212 |
| Mailing Telephone | 4052858166 |
| Mailing Fax Number | 4055639447 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | BILL BUSH (CFO) |
| Authorized Official Telephone | 4052858166 |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF SAPULPA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH7207 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSE | NH7207 | 01 |
| Other Name | Type Code |
|---|---|
| North County Senior Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164940029 | City of Sapulpa | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2017-08-31 |
| 1356869242 | City of Sapulpa | Skilled Nursing Facility | 1400 Buena Vista Ave, Midwest City, OK 73110-2604 | 2017-08-31 |
| 1568980431 | City of Sapulpa | Skilled Nursing Facility | 310 W Taft Ave, Sapulpa, OK 74066-5437 | 2017-08-31 |
| 1609394519 | City of Sapulpa | Skilled Nursing Facility | 102 E Line Ave, Sapulpa, OK 74066-2858 | 2017-08-31 |
| 1356869341 | City of Sapulpa | Skilled Nursing Facility | 1200 W Canadian Ave, Vinita, OK 74301-2702 | 2017-08-30 |
| Street Address |
2300 W BROADWAY ST |
| City | COLLINSVILLE |
| State | OK |
| Zip Code | 74021-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356452908 | St. John Villas Inc. | Nursing Facility/Intermediate Care Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2006-08-31 |
| 1770113771 | Erika Dawn Rector | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2020-01-19 |
| 1538400452 | North County Senior Living, LLC | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2013-03-04 |
| 1770828295 | Leslyn Ann Sutton | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2012-12-10 |
| 1407191422 | Donna Jean Berryhill | Physical Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2012-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982194254 | Bonnie J Johnston | Registered Nurse | 526 E Center St, Collinsville, OK 74021 | 2018-05-12 |
| 1508218959 | Constance Rogers | Family Medicine | 1205 W Main St, Collinsville, OK 74021 | 2016-07-11 |
| 1922597020 | Catherine Eimer | Case Manager/Care Coordinator | 18492 S View Point Ct, Collinsville, OK 74021-1516 | 2018-05-03 |
| 1982001756 | Julia Profit | Registered Nurse | 215 N 20th St, Collinsville, OK 74021-1604 | 2014-11-21 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1538232483 | St. John Villas Inc. | Assisted Living Facility | 523 N 22nd St, Collinsville, OK 74021-1636 | 2006-11-16 |
| 1164825808 | North County Senior Living LLC | Assisted Living Facility | 523 N 22nd St, Collinsville, OK 74021-1636 | 2014-10-08 |
| 1326318213 | Stephanie Ann Ivey | Counselor | 805 N 12th St, Collinsville, OK 74021-2025 | 2012-01-09 |
| 1083861967 | Christian K. Ericksen | Chiropractor | 124 N 10th St, Collinsville, OK 74021-2318 | 2008-08-22 |
| 1679950380 | Janell Lundgren | Specialist | 1001 W Maple St, Collinsville, OK 74021-2326 | 2015-05-01 |
| Find all providers in zip 74021 | ||||
| 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 |
|---|---|---|---|---|
| 1265532022 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62234 | 2006-09-22 |
| 1467406298 | Collinsville Nursing Home, Inc | Skilled Nursing Facility | 685 North Valley Ave, Collinsville, AL 35961 | 2006-05-19 |
| 1447883608 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 Summit Ave, Collinsville, IL 62234-3728 | 2020-02-17 |
| 1205239266 | Jack County Hospital District | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2014-10-06 |
| 1518300292 | New Horizons, Inc. | Skilled Nursing Facility | 102 Dyer Ave, Collinsville, CT 06019-3236 | 2013-04-11 |
| 1538400452 | North County Senior Living, LLC | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2013-03-04 |
| 1922202357 | Collinsville Long Term Care, LLC | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2007-06-11 |
| 1134345168 | First Caremerica | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62034 | 2007-04-18 |
| 1568528560 | Pyramid Healthcare Corp. | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2006-12-28 |
| 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 | COLLINSVILLE |
| Zip Code | 74021 |
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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.