Active NPI
City of Sapulpa
Doing business as Cross Timbers Nursing and Rehabilitation
- Skilled Nursing Facility
- Midwest City, OK
National Provider Identifier
1356869242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH5521
- Legal business name
- CITY OF SAPULPA
- Doing business as
- Cross Timbers Nursing and Rehabilitation
- Practice address
- 1400 Buena Vista Ave
Midwest City, OK 73110-2604 - Phone
- (405) 285-8166
- NPI assigned
- Aug 31, 2017
- Last updated
- Aug 31, 2017
- Organization subpart
- Yes
- Parent organization
- CITY OF SAPULPA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bill Bush
- Title
- Cfo
- Phone
- (405) 285-8166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH5521 | OK | Primary |
Addresses
Primary practice location
1400 Buena Vista Ave
Midwest City, OK 73110-2604
Mailing address
PO Box 990
Edmond, OK 73083-0990
Phone (405) 285-8166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NH5521 | Other | OK | LICENSE |
Other names 1
- Cross Timbers Nursing and Rehabilitation
National Provider Directory
National Provider Directory- Tax ID family
- City of Sapulpa
- Part of
- City of Sapulpa
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba North County Senior Living
- Skilled Nursing Facility
- Collinsville, OK
- NPI 1720506702
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504137600000",
"number": "1356869242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990",
"city": "EDMOND",
"state": "OK",
"postal_code": "730830990",
"telephone_number": "405-285-8166",
"fax_number": "405-563-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BUENA VISTA AVE",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731102604",
"telephone_number": "405-285-8166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SAPULPA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF SAPULPA",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A",
"authorized_official_last_name": "BUSH",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "405-285-8166"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH5521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "NH5521",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cross Timbers Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.