OAKRIDGE HOME, LLC


Address: 210 E Choctaw Ave, Sallisaw, OK 74955-4604
Phone: 9187754439

OAKRIDGE HOME, LLC (NPI# 1770536013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770536013
Entity Type Organization
Organization Name OAKRIDGE HOME, LLC
Practice Address 210 E Choctaw Ave
Sallisaw
OK 74955-4604
Mailing Address Po Box 429
Sallisaw
OK 74955-0429
Practice Telephone 9187754439
Practice Fax Number 9187759242
Mailing Telephone 9187754439
Mailing Fax Number 9187759242
Enumeration Date 2006-05-18
Last Update Date 2020-08-22
Authorized Official Name MR. JUSTIN MCGREW (BUSINESS MANAGEMENT)
Authorized Official Telephone 9187754439
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded OK Nursing & Custodial Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations OAKRIDGE HOME, LLC Seventh and Compton, Wewoka, OK 74884

Office Location

Street Address 210 E CHOCTAW AVE
City SALLISAW
State OK
Zip Code 74955-4604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952401192 Drumright Nursing Home, LLC Nursing Facility/Intermediate Care Facility 210 E Choctaw Ave, Sallisaw, OK 74955-4604 2006-09-25
1740380898 Yale Nursing, LLC Nursing Facility/Intermediate Care Facility 210 E Choctaw Ave, Sallisaw, OK 74955-4604 2006-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063057297 Audrey A. Martin Technician 463508 East 1044 Road, Sallisaw, OK 74955 2019-11-12
1013472356 Christopher Alan Bush Registered Nurse 301 Jt Stites, Sallisaw, OK 74955 2019-01-31
1174098941 Sequoyah County Drug Company Pllc Pharmacy 1632 S Kerr Blvd, Sallisaw, OK 74955 2018-10-09
1720570609 Stephanie Choate Registered Nurse 2703 E Phillips Ave, Sallisaw, OK 74955 2018-06-05
1972964666 Sallisaw Family Medicine, L.L.C. Family Medicine 104 South Oak St, Sallisaw, OK 74955 2016-03-09
1407258544 Mika Goff Counselor 301 So. Jt Stites, Sallisaw, OK 74955 2014-09-19
1013348200 Alton Matlock Counselor 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 2013-12-12
1881931509 Wildhorse Family Practice & Urgent Care Clinic/Center 1024 W Cherokee, Sallisaw, OK 74955 2013-01-15
1083966576 Kayla Plank Counselor 204 E Choctaw, Sallisaw, OK 74955 2012-10-08
1427307503 Brandi Jean Henry Counselor 205 S. J.t. Stites, Sallisaw, OK 74955 2012-09-05
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093816100 Okmulgee Terrace, LLC Intermediate Care Facility, Mentally Retarded 210 East Choctaw Street, Sallisaw, OK 74955-0429 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467959866 Santa Fe Place LLC Intermediate Care Facility, Mentally Retarded 1000 S Santa Fe, Building C, Moore, OK 73160-2469 2018-04-11
1588179600 Oklahoma Homes for The Developmentally Disabled, LLC Intermediate Care Facility, Mentally Retarded 209 E Garber Rd, Garber, OK 73738-1039 2017-12-12
1881055267 Saint Andre' Bessette Intermediate Care Facility, Mentally Retarded 655 West Texas, Okarche, OK 73762-0245 2016-03-14
1598134165 Guthrie Cottages, LLC Intermediate Care Facility, Mentally Retarded 2102 W Warner, Guthrie, OK 73044 2015-09-24
1407225071 Westview Cottages, Inc Intermediate Care Facility, Mentally Retarded 1900 W Harrison Ave, Guthrie, OK 73044-4053 2015-09-24
1407240237 Fairchild Home and Community Based Services, LLC Intermediate Care Facility, Mentally Retarded 205 E Maple, Billings, OK 74630 2015-03-18
1922230341 Wvl I Lp Intermediate Care Facility, Mentally Retarded 2102 West Warner, Guthrie, OK 73044 2009-08-18
1265669667 Gatesway Foundation Inc Intermediate Care Facility, Mentally Retarded 1305 E College St, Broken Arrow, OK 74012-4204 2009-06-12
1457501892 Gatesway Foundation Inc Intermediate Care Facility, Mentally Retarded 1313 E. College, Broken Arrow, OK 74012 2008-09-23
1972762235 Loosen Center Intermediate Care Facility, Mentally Retarded 6th and Texas, Okarche, OK 73762-0245 2008-06-03
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Competitor

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City SALLISAW
Zip Code 74955

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Dataset Information

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.

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