NPIMap

Organization Active NPI

Tulsa Hills Community Inc

  • Skilled Nursing Facility
  • Tulsa, OK
National Provider Identifier
1679119192
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TULSA HILLS COMMUNITY INC
Practice address
3800 W 71St St
Tulsa, OK 74132-2117
Phone
(918) 481-9988
Fax
(918) 481-9989
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
David G Erickson
Title
SVP, General Counsel
Phone
(773) 878-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3800 W 71St St
Tulsa, OK 74132-2117

Mailing address

3800 W 71St St
Tulsa, OK 74132-2117
Phone (918) 481-9988

Other identifiers 1

IdentifierTypeStateIssuer
CC1902-1908OtherOKSNF LICENSE

Other names 1

  • Covenant Living at Inverness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205000533 OK Part A Provider - Skilled Nursing Facility 1254767544 Practice locations: Tulsa, OK

Skilled nursing facility certification: CCN 375476

Legal name
TULSA HILLS COMMUNITY INC
Doing business as
COVENANT LIVING AT INVERNESS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 24, 2005
Last certification
Sep 26, 2024
Beds
44
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Covenant Living
Organization structure
CorporationNon-profit
Incorporated
Aug 23, 2019 in OK
Enrollment address
3800 W 71St Street South
Tulsa, OK 74132-2117
Nursing home name
COVENANT LIVING AT INVERNESS
Affiliated entity
COVENANT LIVING

National Provider Directory

National Provider Directory

Locations

3800 W 71st St
Tulsa, OK 74132
Phone (918) 388-4254

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrew Vanover Individual Corporate DirectorBoard Member Nov 1, 2019
Pamela Christensen Individual Corporate DirectorBoard Member Nov 1, 2019
Covenant Living Communities & Services Organization, Skokie, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2019 100%
Kurt Kincannon Individual Corporate DirectorBoard Member Nov 1, 2019
Roger Oxendale Individual Corporate DirectorBoard Member Nov 1, 2019
David Erickson Individual Corporate OfficerSVP/GC/Asst Secy/Ao Nov 1, 2019
Corporate DirectorBoard Member Nov 1, 2019
Richard Nelson Individual Corporate DirectorBoard Member Nov 1, 2019
Ruben Bearer Individual W-2 Managing EmployeeAdministrator Nov 1, 2019
Robert Martin Individual Corporate DirectorBoard Member Nov 1, 2019
Terri Cunliffe Individual Corporate OfficerPres/Ceo/Auth Official Nov 1, 2019
Sarah Bentley Individual Corporate DirectorBoard Member Nov 1, 2019
Mark C Eastburg Individual Corporate DirectorBoard Member Nov 1, 2019
Kara E Davis Individual Corporate DirectorBoard Member Nov 1, 2019
Matt Manlove Individual Corporate DirectorVice Chair Nov 1, 2019
John Wenrich Individual Corporate DirectorBoard Member Nov 1, 2019
Rebekah Erickson Individual Corporate OfficerAssistant Secretary Nov 1, 2019
Jody Holt Individual Corporate OfficerCfo/Treasurer/Aurhorized Officia Nov 1, 2019
Dale Rinard Individual Corporate DirectorBoard Member Nov 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Covenant Living at InvernessCCN 375476
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 24, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4442.1 residents per day on average
Chain
Covenant Living15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1079367Covenant Living at Inverness3800 W 71St Street, Tulsa, OK 74132Certificate of waiverJan 29, 2028

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1679119192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322117",
            "telephone_number": "918-481-9988",
            "fax_number": "918-481-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322117",
            "telephone_number": "918-481-9988",
            "fax_number": "918-481-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA HILLS COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "773-878-4325"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF LICENSE",
            "identifier": "CC1902-1908",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Living at Inverness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.