St.John Villas Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CC7202-7202 Issued in OK

Legal business name

ST.JOHN VILLAS INC

Doing business as

Franciscan Villa

Practice address

17110 E 51St St
Broken Arrow, OK 74012-9279

Phone

(918) 355-1596

NPI assigned

Nov 16, 2006

Last updated

Apr 30, 2008By 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

Mr. Lex Anderson

Title

Treasurer, St. John Villas Inc

Phone

(918) 744-3072

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Franciscan Villa Doing business as

Tax ID family

Frances Streitel Villa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. John Villas Inc.

  dba Frances Streitel Villa

  • Assisted Living Facility
  • Collinsville, OK
  • NPI 1538232483
  NPD tax ID

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1740353689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 E 51ST ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129279",
            "telephone_number": "918-355-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOHN VILLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "TREASURER, ST. JOHN VILLAS INC",
        "authorized_official_telephone_number": "918-744-3072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "CC7202-7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTINUUM OF CARE",
            "identifier": "CC7202-7202",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spring Dental-Broken Arrow
• Fady Srour, M.A, LPC
• St John Villas Inc (Franciscan Villa)
• St. John Broken Arrow, Inc (Ascension St. John Jenks)
• St. John Encompass Health Rehabilitation Hospital, LLC (Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health)
• McKenzie Stabler
• Stacey Murrell, OD PC Inc (Broken Arrow Vision Clinic)
• Ashley Stamm, CMII, PRSS
• Kelly Standingwater
• Cynthia Sue Standridge, D.C.

• Assisted Living Facility in Broken Arrow, OK
• Providers in Broken Arrow, 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 Apr 30, 2008; 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.