Active NPI
Golden Oaks Village of Stillwater, L.L.C.
- Assisted Living Facility
- Stillwater, OK
National Provider Identifier
1679797419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL6003
- Legal business name
- GOLDEN OAKS VILLAGE OF STILLWATER, L.L.C.
- Practice address
- 5505 W 19TH Ave
Stillwater, OK 74074-1323 - Phone
- (405) 377-1114
- Fax
- (405) 377-9214
- NPI assigned
- Apr 12, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tandie Hastings
- Title
- President
- Phone
- (405) 282-6285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL6003 | OK | Primary |
Addresses
Primary practice location
5505 W 19TH Ave
Stillwater, OK 74074-1323
Mailing address
5505 W 19TH Ave
Stillwater, OK 74074-1323
Phone (405) 377-1114
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1060397 | Golden Oaks Village of Stillwater LLC | Certificate of waiver | Oct 22, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679797419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 W 19TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740741323",
"telephone_number": "405-377-1114",
"fax_number": "405-377-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 W 19TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740741323",
"telephone_number": "405-377-1114",
"fax_number": "405-377-9214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN OAKS VILLAGE OF STILLWATER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HASTINGS",
"authorized_official_first_name": "TANDIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-282-6285"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OK",
"license": "AL6003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.