Summit Healthcare Receivership LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0601 Issued in OK

Legal business name

SUMMIT HEALTHCARE RECEIVERSHIP LLC

Practice address

119 N. 6TH
Okeene, OK 73763

Phone

(580) 822-4441

Fax

(580) 822-4431

NPI assigned

Dec 13, 2010

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Goodman

Title

Receiver

Phone

(405) 769-7990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1114220191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "NICOMA PARK",
            "state": "OK",
            "postal_code": "730661218",
            "telephone_number": "405-769-7990",
            "fax_number": "405-769-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N. 6TH",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "73763",
            "telephone_number": "580-822-4441",
            "fax_number": "580-822-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE RECEIVERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "405-769-7990"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH0601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Clayton Sander, PA-C
• Patricia Jayne Schwartz
• George Scott Stenger, D.O
• Summers Health Services, LLC
• Summit Healthcare LLC
• Michael R Talley, M.D.
• Brenda Lee Wallace, M.S.W., L.C.S.W
• Wheatland Therapy Services, LLC.
• Amy Lee Williams, PA-C

• Skilled Nursing Facility in Okeene, OK
• Providers in Okeene, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.