South Park Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH PARK HEALTH CARE LLC

Doing business as

South Pointe Rehab and Care Center

Practice address

5725 S Ross Ave
Oklahoma City, OK 73119-5650

Phone

(405) 685-0232

Fax

(405) 685-0232

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Judah Bienstock

Title

Managing Member

Phone

(314) 812-2550

Specialties & licenses 1

Addresses

Other names 1

• South Pointe Rehab and Care Center Doing business as

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1366788549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 S ROSS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731195650",
            "telephone_number": "405-685-4791",
            "fax_number": "405-685-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 S ROSS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731195650",
            "telephone_number": "405-685-0232",
            "fax_number": "405-685-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PARK HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-812-2550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Pointe Rehab and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Oklahoma City, OK
• Providers in Oklahoma City, 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 Dec 2, 2015; 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.