Organization Active NPI

Reliant Living Centers of Oklahoma, Inc

  • Nursing Facility/Intermediate Care Facility
  • Del City, OK
National Provider Identifier
1275679581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH5547 Issued in OK
Legal business name
RELIANT LIVING CENTERS OF OKLAHOMA, INC
Practice address
3317 SE 18TH St
Del City, OK 73115-1413
Phone
(405) 677-2421
Fax
(405) 677-2497
NPI assigned
Jan 30, 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 NH5547 OK Primary

Addresses

Primary practice location

3317 SE 18TH St
Del City, OK 73115-1413

Mailing address

3317 SE 18TH St
Del City, OK 73115-1413
Phone (405) 677-2421

Other names 1

  • Reliant Living Centers of Del City Doing business as

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.

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275679581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 SE 18TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151413",
            "telephone_number": "405-677-2421",
            "fax_number": "405-677-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 SE 18TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151413",
            "telephone_number": "405-677-2421",
            "fax_number": "405-677-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT LIVING CENTERS OF OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "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": "NH5547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant Living Centers of Del City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.