Bellecrest LLC
Organization Active NPI Skilled Nursing Facility · Moore, OK
NPI 1285736660 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1285736660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH1402 (OK)
- Legal business name
- BELLECREST LLC
- Practice address
- 2120 N Broadway St
Moore, OK 73160-4408 - Phone
- (405) 794-2428
- Fax
- (405) 794-2253
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Thompson
- Title
- Sole Member/Manger
- Phone
- (405) 879-0102
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH1402 | OK | Yes |
Addresses
Primary practice location
2120 N Broadway St
Moore, OK 73160-4408
Mailing address
2120 N Broadway St
Moore, OK 73160-4408
Phone (405) 794-2428
Other names
- Hillcrest Nursing Center
Other providers in Moore, OK
- Lisa Mechelle Bell
- Pierson Michael Bell
- Valerie Bell
- Whitney Dawn Bell
- Bellecrest Homes LLC
- Charles Bender
- Kalin Bender
- Kelly Bender
- Brandon Lee Benear
- Molly Berg
All providers in Moore, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.