Organization 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
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

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

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.

Verify at the official NPI Registry.