Organization Active NPI

Continuous Care Center of Tulsa, Inc.

  • Long Term Care Hospital
  • Tulsa, OK
National Provider Identifier
1366442006
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
2336 Issued in OK
Legal business name
CONTINUOUS CARE CENTER OF TULSA, INC.
Practice address
1923 S Utica Ave
4 South
Tulsa, OK 74104-6520
Phone
(918) 749-8930
Fax
(918) 749-9373
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Basil Wyatt
Title
Cfo
Phone
(918) 749-8930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 2336 OK Primary

Addresses

Primary practice location

1923 S Utica Ave
4 South
Tulsa, OK 74104-6520

Mailing address

1924 S Utica Ave
Suite 600
Tulsa, OK 74104-6510
Phone (918) 749-8930

Other identifiers 1

IdentifierTypeStateIssuer
100700500AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1924 S Utica Ave
Ste 600
Tulsa, OK 74104
Phone (918) 978-7239

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1366442006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 S UTICA AVE",
            "address_2": "SUITE 600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046510",
            "telephone_number": "918-749-8930",
            "fax_number": "918-749-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "address_2": "4 SOUTH",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-749-8930",
            "fax_number": "918-749-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUOUS CARE CENTER OF TULSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-749-8930"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OK",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.