ST.JOHN VILLAS INC (NPI# 1740353689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740353689 |
| Entity Type | Organization |
| Organization Name | ST.JOHN VILLAS INC |
| Other Organization Name | FRANCISCAN VILLA |
| Practice Address |
17110 E 51st St Broken Arrow OK 74012-9279 |
| Mailing Address |
1923 S Utica Ave Tulsa OK 74104-6520 |
| Practice Telephone | 9183551596 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | MR. LEX ANDERSON (TREASURER, ST. JOHN VILLAS INC) |
| Authorized Official Telephone | 9187443072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | CC7202-7202 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CONTINUUM OF CARE | CC7202-7202 | 01 |
| Other Name | Type Code |
|---|---|
| Franciscan Villa | Doing Business As Name - Organization |
| Street Address |
17110 E 51ST ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-9279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073682662 | St John Villas Inc | Nursing Facility/Intermediate Care Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2006-11-07 |
| 1396382834 | Malory Harwell Whitney | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2019-12-03 |
| 1083271993 | Brandy Nicole Randolph | Physical Therapy Assistant | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2019-05-27 |
| 1780241703 | Sabina E Bell | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2019-05-24 |
| 1578055331 | Kristen Lynn Keene | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2018-06-06 |
| 1164940029 | City of Sapulpa | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2017-08-31 |
| 1275981318 | Jordan Earlo Tubbs | Occupational Therapist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2016-05-31 |
| 1750768966 | Franciscan Villa LLC | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2015-04-27 |
| 1205228384 | Jillian Gregory | Physical Therapy Assistant | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2015-02-25 |
| 1306250675 | Genesis | Nursing Facility/Intermediate Care Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2014-06-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1740526474 | Forest Hills Alf LLC | Assisted Living Facility | 4304 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-28 |
| 1508032418 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 4001 S Aspen Ave, Broken Arrow, OK 74011-1465 | 2008-05-01 |
| 1063630671 | Broken Arrow, LLC | Assisted Living Facility | 10107 S Garnett Rd, Broken Arrow, OK 74011-1118 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 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 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1508270380 | Heatheridge Health Care, LLC | Assisted Living Facility | 2130 S 85th East Ave, Tulsa, OK 74129-3066 | 2014-06-19 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
| 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.