Quail Ridge Senior Development, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5523-5523 Issued in OK

Legal business name

QUAIL RIDGE SENIOR DEVELOPMENT, LLC

Practice address

12401 Trail Oaks Dr
Oklahoma City, OK 73120-1701

Phone

(405) 755-5775

Fax

(405) 749-9324

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Smith

Title

Managing Owner

Phone

(405) 755-5775

Specialties & licenses 1

Addresses

Other names 1

• Quail Ridge Assisted Living Doing business as

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1497944292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 TRAIL OAKS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201701",
            "telephone_number": "405-755-5775",
            "fax_number": "405-749-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 TRAIL OAKS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201701",
            "telephone_number": "405-755-5775",
            "fax_number": "405-749-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAIL RIDGE SENIOR DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "405-755-5775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL5523-5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Quach
• Hugh Khoi Quach, MD
• Syed Muhammad Shakaib Quadri
• Syed Muhammad Zahaib Quadri, MBBS, MD
• Quail Brook Family Medical & Urgent Care
• Quail Ridge Senior Development, LLC
• Quail Springs Dentistry and Braces
• Quail Springs Operations, LLC
• Quail Springs Optical Services, PC
• Quality Care Home Health Inc

• Assisted Living Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.