CCLS, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH7406-7406 Issued in OK

Legal business name

CCLS, LLC

Doing business as

Silver Lake Care Center

Practice address

6006 SE Adams Blvd
Bartlesville, OK 74006-8960

Phone

(918) 335-2172

Fax

(918) 333-4967

NPI assigned

Sep 25, 2007

Last updated

Jun 23, 2008By 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

Mrs. Joann Hart

Title

Administrator

Phone

(918) 335-2172

Specialties & licenses 1

Addresses

Other names 1

• Silver Lake Care Center Doing business as

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1528254455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565109",
            "telephone_number": "479-410-1740",
            "fax_number": "479-410-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 SE ADAMS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068960",
            "telephone_number": "918-335-2172",
            "fax_number": "918-333-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-335-2172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7406-7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Lake Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerry Carter, OD
• Marci Carter
• William J Carter, M.D.
• Toby James Cartwright
• Courtney C Caywood, COTA
• Bionca M Chambers
• Gopal Chandrasekharan, M.D.
• Jeffrey Allen Chapman, B.S.
• Brook Ladawn Chase
• Jimmie Charles Chase, BS,CADC

• Skilled Nursing Facility in Bartlesville, OK
• Providers in Bartlesville, 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 Jun 23, 2008; 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.