NPIMap

Organization Active NPI

Reliant Living Centers of Oklahoma, Inc

  • Nursing Facility/Intermediate Care Facility
  • Oklahoma City, OK
National Provider Identifier
1093852014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH5565 Issued in OK
Legal business name
RELIANT LIVING CENTERS OF OKLAHOMA, INC
Practice address
2901 SE 22ND St
Oklahoma City, OK 73129-8413
Phone
(405) 677-2421
Fax
(405) 677-2487
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bill J Florence, ADMINISTRATOR
Title
Administrator
Phone
(405) 677-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH5565 OK Primary

Addresses

Primary practice location

2901 SE 22ND St
Oklahoma City, OK 73129-8413

Mailing address

2901 SE 22ND St
Oklahoma City, OK 73129-8413
Phone (405) 677-2421

Other names 1

  • Bryant Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2094099Bryant Place2901 SE 22ND, Oklahoma City, OK 73129Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bryant Place5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2901 SE 22nd St
Oklahoma City, OK 73129
Phone (405) 618-0150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093852014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SE 22ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731298413",
            "telephone_number": "405-677-2421",
            "fax_number": "405-677-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SE 22ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731298413",
            "telephone_number": "405-677-2421",
            "fax_number": "405-677-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT LIVING CENTERS OF OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORENCE",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-677-2421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH5565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.