Organization Active NPI

United Senior Properties of Seminole, LLC

Doing business as Avonlea Cottage of Seminole

  • Assisted Living Facility
  • Seminole, OK
National Provider Identifier
1730507658
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AI6701 Issued in OK
Legal business name
UNITED SENIOR PROPERTIES OF SEMINOLE, LLC
Doing business as
Avonlea Cottage of Seminole
Practice address
2207 West Wrangler Blvd
Seminole, OK 74868
Phone
(405) 382-4450
NPI assigned
Mar 29, 2014
Last updated
Mar 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Paul Thoma
Title
Member
Phone
(913) 492-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AI6701 OK Primary

Addresses

Primary practice location

2207 West Wrangler Blvd
Seminole, OK 74868

Mailing address

2207 West Wrangler Blvd
Seminole, OK 74868

Other names 1

  • Avonlea Cottage of Seminole Doing business as

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
37D2209235Avonlea Cottage of Seminole2207 West Wrangler Blvd, Seminole, OK 74868Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

2207 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 382-4450

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1730507658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 WEST WRANGLER BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "74868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 WEST WRANGLER BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "74868",
            "telephone_number": "405-382-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SENIOR PROPERTIES OF SEMINOLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "THOMA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-492-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AI6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avonlea Cottage of Seminole",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.

Verify at the official NPI Registry.