St. John Villas Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

375504 Issued in OK

Legal business name

ST. JOHN VILLAS INC.

Doing business as

Frances Streitel Villa

Practice address

2300 W Broadway St
Collinsville, OK 74021-1625

Phone

(918) 371-2545

Fax

(918) 371-2738

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald W Pearce

Title

Administrator

Phone

(918) 371-2545

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Frances Streitel Villa Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1356452908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WEST BROADWAY",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211625",
            "telephone_number": "918-371-2545",
            "fax_number": "918-371-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W BROADWAY ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211625",
            "telephone_number": "918-371-2545",
            "fax_number": "918-371-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN VILLAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-371-2545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH7207-7207",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "375504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frances Streitel Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Rubio
• Sydney Marie Russell, PT, DPT
• Jennifer Scott, RN, BSN
• Wendy L Smith, LCSW
• Spring Dental Collinsville, PLLC
• St. John Villas Inc.
• Kristin Stierwalt, SLP-CF
• William E Stringer, M.D.
• Leslyn Ann Sutton
• Sadie Thompson

• Skilled Nursing Facility in Collinsville, OK
• Providers in Collinsville, 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 Nov 6, 2009; 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.