Mike Bussey, Receiver, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

06049 Issued in OK

Legal business name

MIKE BUSSEY, RECEIVER, LLC

Doing business as

Sunset Estates of El Reno

Practice address

2100 Townsend Dr
El Reno, OK 73036-2116

Phone

(405) 262-3323

Fax

(405) 262-3328

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By 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

S. Wendy McEntire

Title

Business Manager

Phone

(405) 737-0881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunset Estates of El Reno Doing business as

Locations

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": "1740404409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S. DOUGLAS BLVD.",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305215",
            "telephone_number": "405-737-0881",
            "fax_number": "405-737-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 TOWNSEND DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362116",
            "telephone_number": "405-262-3323",
            "fax_number": "405-262-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE BUSSEY, RECEIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "405-737-0881"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "06049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20008750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Estates of El Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Hospital El Reno, Inc.
• Lauren Rose Merrell, BS, BHRS, CM C/A/F
• Michael Compton DDS Inc
• Sarah Verlene Michael
• Midwestern Professional Associates Inc
• Kristin Miller, M.D.
• Mary Kay Miller, B.A.
• Latosha M Milton
• Peter James Miner, M.S.W
• Elizabeth Alison Mitchell

• Nursing Facility/Intermediate Care Facility in El Reno, OK
• Providers in El Reno, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.