Manor Care of Tulsa Ok LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH72107210 Issued in OK

Legal business name

MANOR CARE OF TULSA OK LLC

Doing business as

ManorCare Health Services - Tulsa

Practice address

2425 S Memorial Dr
Tulsa, OK 74129-2617

Phone

(918) 628-0932

Fax

(918) 622-2060

NPI assigned

Aug 17, 2009

Last updated

Dec 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursement

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services - Tulsa Doing business as

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1386876969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-254-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741292617",
            "telephone_number": "918-628-0932",
            "fax_number": "918-622-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF TULSA OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENT",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH72107210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ralph Edward Manning, L.P.C., L.M.F.T.
• Shaun David Manning, LPC, NCC
• Tessa Leigh Manning, MD
• Jazmine Denise Nicole Manns
• Veronica M Manoila, APRN
• Jack Manquen
• David C. Mansfield, PA
• James Mansfield, ATC
• Zaeemah Mansoor
• Nicolas Mantilla

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, 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 22, 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.