76TH Street Land LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH7234 Issued in OK

Legal business name

76TH STREET LAND LLC

Doing business as

The Cottage at Woodland Hills

Practice address

7707 S Memorial Dr
Tulsa, OK 74133-3643

Phone

(918) 394-1803

NPI assigned

Jul 25, 2017

Last updated

Jul 25, 2017By 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

Steven Cox

Title

Owner / Authorized Official

Phone

(918) 232-0305

Specialties & licenses 2

Addresses

Other names 1

• THE COTTAGE AT WOODLAND HILLS Doing business as

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1659894202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 E 120TH CT STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378813",
            "telephone_number": "918-394-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333643",
            "telephone_number": "918-394-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "76TH STREET LAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-232-0305"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH7234",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COTTAGE AT WOODLAND HILLS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE COTTAGE AT WOODLAND HILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Tulsa, OK
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.