Active NPI
The Tulsa Jewish Community Retirement and Health Care Center, Inc.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tulsa, OK
National Provider Identifier
1396360905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- THE TULSA JEWISH COMMUNITY RETIREMENT AND HEALTH CARE CENTER, INC.
- Practice address
- 2025 E 71St St
Tulsa, OK 74136-5407 - Phone
- (918) 496-8333
- Fax
- (918) 508-7032
- NPI assigned
- Jun 9, 2020
- Organization subpart
- Yes
- Parent organization
- THE TULSA JEWISH COMMUNITY RETIREMENT AND HEALTH CARE CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Jakubovitz
- Title
- Ceo
- Phone
- (918) 496-8333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
2025 E 71St St
Tulsa, OK 74136-5407
Mailing address
2025 E 71St St
Tulsa, OK 74136-5407
Phone (918) 496-8333
Other names 1
- Suppportive Care Solutions of Tulsa
National Provider Directory
National Provider Directory- Part of
- Tulsa Jewish Retirement
Locations
2025 E 71st St
Tulsa, OK 74136
Phone (918) 496-8333
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.
-
- Nursing Facility/Intermediate Care Facility
- Tulsa, OK
- NPI 1184923419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1396360905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 E 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741365407",
"telephone_number": "918-496-8333",
"fax_number": "918-508-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 E 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741365407",
"telephone_number": "918-496-8333",
"fax_number": "918-508-7032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TULSA JEWISH COMMUNITY RETIREMENT AND HEALTH CARE CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE TULSA JEWISH COMMUNITY RETIREMENT AND HEALTH CARE CENTER, INC.",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "JAKUBOVITZ",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-496-8333"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suppportive Care Solutions of Tulsa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
- The Scholl Center for Communication Disorders
- The Spine and Pain Center LLC
- The Spring
- The Tristesse Grief Center Inc
- The Tulsa Jewish Community Retirement and Health Care Center, Inc.
- The Uma Center Inc
- The V Boutiq
- The Wellness Clinic
- The Wellness Garden
- The Young Men'S Christian Association of Greater Tulsa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.