CSCC Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CSCC NURSING, LLC

Doing business as

Companions Specialized Care Center

Practice address

6201 E 36TH St
Tulsa, OK 74135-5810

Phone

(918) 622-3430

Fax

(918) 622-0626

NPI assigned

Aug 8, 2012

Last updated

Aug 9, 2012By 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

Boyd P Gentry

Title

President & Ceo

Phone

(678) 869-5118

Specialties & licenses 1

Addresses

Other names 1

• Companions Specialized Care Center Doing business as

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1538416656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 E 36TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355810",
            "telephone_number": "918-622-3430",
            "fax_number": "918-622-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 E 36TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355810",
            "telephone_number": "918-622-3430",
            "fax_number": "918-622-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSCC NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "678-869-5118"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Companions Specialized Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Ann Cruz-Bowen, LCSW
• Alyson Cruz
• Nataly F Cruz, LMSW
• Pable Sebastian Cruz
• Ramiro Cruz
• CT Medservices LLC
• Ctca Physicans Group of Oklahoma, Inc
• Julio C Cuadra, MD
• Keri Jo Cuccaro
• Brandon Cuddy, DPT

• 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 Aug 9, 2012; 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.