St.John Villas Inc in Broken Arrow - Assisted Living Facility

St.John Villas Inc - NPI 1740353689

St.John Villas Inc is a Assisted Living Facility in Broken Arrow, Oklahoma. St.John Villas Inc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for St.John Villas Inc is 1740353689. The last update date is 2008-04-30.

St.John Villas Inc's current location address is 17110 E 51st St, Broken Arrow, Oklahoma. You can contact this provider via phone number 9183551596. The mailing address for St.John Villas Inc is 17110 E 51st St, Broken Arrow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization St.John Villas Inc
Address 17110 E 51st St, Broken Arrow, Oklahoma
Phone Number 9183551596
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREASURER,
Authorized Official Name Anderson Lex
Telephone Number 9187443072

NPI Number Detail

NPI Number 1740353689
Provider Enumeration Date 2006-11-16
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 17110 E 51st St
City Broken Arrow
State Oklahoma (OK)
Post Code 740129279
Phone Number 9183551596
Fax Number

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No CC7202-7202
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CC7202-7202 OK CONTINUUM OF CARE

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FAQs about St.John Villas Inc

What is the unique identifier code issued to St.John Villas Inc by the Centers for Medicare & Medicaid Services (CMS)?

The St.John Villas Inc has been assigned the NPI (National Provider Identifier) 1740353689. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the St.John Villas Inc's physical address?

The St.John Villas Inc is physically located at 17110 E 51St St, in the city of Broken Arrow, OK, with the postal code 740129279.

What is St.John Villas Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The St.John Villas Inc's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.

When did the St.John Villas Inc receive its 1740353689?

The St.John Villas Inc was issued its 1740353689 on 2006-11-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to St.John Villas Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to St.John Villas Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-30.

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