Phoenix Healthcare Llc in Sapulpa - Nursing Facility/intermediate Care Facility

Phoenix Healthcare Llc - NPI 1780694711

Phoenix Healthcare Llc is a Nursing Facility/intermediate Care Facility in Sapulpa, Oklahoma. Phoenix Healthcare Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Phoenix Healthcare Llc is 1780694711. The last update date is 2008-08-13.

Phoenix Healthcare Llc's current location address is 1165 S. Brenner Rd, Sapulpa, Oklahoma. You can contact this provider via phone number 9182240600 and fax number 9182246287. The mailing address for Phoenix Healthcare Llc is 1165 S. Brenner Rd, Sapulpa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Phoenix Healthcare Llc
Address 1165 S. Brenner Rd, Sapulpa, Oklahoma
Phone Number 9182240600
Fax Number 9182246287
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICARE S
Authorized Official Name Taylor Angela
Telephone Number 9186456164

NPI Number Detail

NPI Number 1780694711
Provider Enumeration Date 2006-08-09
Last Updated Date 2008-08-13

Provider Mailing Address Detail

Address 1165 S. Brenner Rd
City Sapulpa
State Oklahoma (OK)
Post Code 740666141
Phone Number 9182240600
Fax Number 9182246287

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No NH1906-1906
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200040930A OK --

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FAQs about Phoenix Healthcare Llc

What is the Phoenix Healthcare Llc's 1780694711?

The Phoenix Healthcare Llc's NPI (National Provider Identifier) Number is 1780694711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Phoenix Healthcare Llc is geographically located?

The Phoenix Healthcare Llc is physically situated at the following location: 1165 S. Brenner Rd, Sapulpa, OK, 740666141.

What is Phoenix Healthcare Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Phoenix Healthcare Llc is Nursing Facility/intermediate Care Facility, and the taxonomy classification code that categorizes this area of expertise is 313M00000X.

On what date did the Phoenix Healthcare Llc receive its 1780694711 assignment from the Centers for Medicare & Medicaid Services?

The Phoenix Healthcare Llc was assigned its 1780694711 by the Centers for Medicare & Medicaid Services on 2006-08-09.

As of what date was the information pertaining to Phoenix Healthcare Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Phoenix Healthcare Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-13.

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