B & H Operations Tahlequah LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

B & H OPERATIONS TAHLEQUAH LLC

Doing business as

Countryside Assisted Living of Tahlequah

Practice address

1380 N Heritage LN
Tahlequah, OK 74464-2136

Phone

(918) 456-7117

NPI assigned

Jan 2, 2025

Last updated

Jan 3, 2025By 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

Tara Box

Title

Agent

Phone

(479) 738-8717

Specialties & licenses 1

Addresses

Other names 1

• Countryside Assisted Living of Tahlequah Doing business as

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1720897978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MADISON 2035",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N HERITAGE LN",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642136",
            "telephone_number": "918-456-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & H OPERATIONS TAHLEQUAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "479-738-8717"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Assisted Living of Tahlequah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• At Home in Oklahoma, Inc
• Eugena Atkinson, LMSW; MSW U/S
• Raul F Auza, O.D.
• Kristin Avance, LMSW, LCSW
• Bilal Aziz, MD
• Madison Bailey, OD
• Ashley Ann Baine, LPN
• Chad Douglas Baker
• Megan E Baker
• Stacie Renae Baker

• Assisted Living Facility in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.