Active NPI
PSG-Tuttle, LLC
Doing business as Tuttle Care Center
- Nursing Facility/Intermediate Care Facility
- Tuttle, OK
National Provider Identifier
1144225251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NH2601
- Legal business name
- PSG-TUTTLE, LLC
- Doing business as
- Tuttle Care Center
- Practice address
- 104 SE 4TH St
Tuttle, OK 73089-8825 - Phone
- (405) 381-3363
- Fax
- (405) 381-0827
- NPI assigned
- Jun 15, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rosann Yeakley
- Title
- Adminstrator
- Phone
- (405) 381-3363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH2601 | OK | Primary |
Addresses
Primary practice location
104 SE 4TH St
Tuttle, OK 73089-8825
Mailing address
104 SE 4TH St
Tuttle, OK 73089-8825
Phone (405) 381-3363
Other names 1
- TUTTLE CARE CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Csra Leasing Oklahoma Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lawton, OK
- NPI 1174518898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144225251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SE 4TH ST",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730898825",
"telephone_number": "405-381-3363",
"fax_number": "405-381-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SE 4TH ST",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730898825",
"telephone_number": "405-381-3363",
"fax_number": "405-381-0827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSG-TUTTLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YEAKLEY",
"authorized_official_first_name": "ROSANN",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "405-381-3363",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OK",
"license": "NH2601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TUTTLE CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tuttle, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.