NPIMap

Organization Active NPI

Orchard Grove RCF

  • Assisted Living Facility (Mental Illness)
  • Vinita, OK
National Provider Identifier
1316142722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
RC1808-1808 Issued in OK
Legal business name
ORCHARD GROVE RCF
Practice address
35010 S 4465 Rd
Vinita, OK 74301-6672
Phone
(918) 782-4050
NPI assigned
Jun 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dee Bruce
Title
Owner
Phone
(918) 782-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X RC1808-1808 OK Primary

Addresses

Primary practice location

35010 S 4465 Rd
Vinita, OK 74301-6672

Mailing address

35010 S 4465 Rd
Vinita, OK 74301-6672
Phone (918) 782-4050

National Provider Directory

National Provider Directory
Tax ID family
Orchard Grove RCF2 organizations share this tax ID, including this one

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.

NPI Registry JSON

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316142722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35010 S 4465 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743016672",
            "telephone_number": "918-782-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 S 4465 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743016672",
            "telephone_number": "918-782-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD GROVE RCF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-782-4050"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OK",
            "license": "RC1808-1808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, 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.