KGC OPERATOR, INC. (NPI# 1942476841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942476841 |
| Entity Type | Organization |
| Organization Name | KGC OPERATOR, INC. |
| Other Organization Name | ALTERRA CLARE BRIDGE COTTAGE OF SW OKLAHOMA CITY |
| Practice Address |
10001 S May Ave Oklahoma City OK 73159-6600 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 4056910409 |
| Mailing Telephone | 4149185000 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | MARK OHLENDORF (CO-PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Alterra Clare Bridge Cottage of SW Oklahoma City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710043906 | Kgc Operator, Inc. | Assisted Living Facility | 4501 College Dr, Vernon, TX 76384-4093 | 2006-12-29 |
| 1700942984 | Kgc Operator, Inc. | Assisted Living Facility | 2525 Lillian Miller Pkwy, Denton, TX 76210-2945 | 2006-12-29 |
| 1104480672 | Kgc Operator, Inc. | Assisted Living Facility | 215 Shupe Cir, Loveland, CO 80537-3460 | 2019-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KGC Operator, Inc. | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Washington State Corporations | KGC OPERATOR, INC. | 6737 W Washington St #2300, Milwaukee, WI 53214 |
| Oklahoma Business Registrations | KGC OPERATOR, INC. | 6737 W Washington St Ste 2300, Milwaukee, WI 53214 |
| Indiana Business Entities | KGC OPERATOR, INC. | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Street Address |
10001 S MAY AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| 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 |
| 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 |
| 1497944292 | Quail Ridge Senior Development, LLC | Assisted Living Facility | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2007-10-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.