B & H Alf Operations Muskogee LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

B & H ALF OPERATIONS MUSKOGEE LLC

Doing business as

Countryside Memory Care of Muskogee

Practice address

3211 Chandler Rd
Muskogee, OK 74403-4925

Phone

(918) 683-8388

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 Memory Care of Muskogee 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": "1750190906",
    "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": "3211 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034925",
            "telephone_number": "918-683-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & H ALF OPERATIONS MUSKOGEE 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 Memory Care of Muskogee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Lynn Avery, MSW
• Axxess Home Care, Inc. (Traditions Health of Checotah)
• Gail Helen Ayres, R.D. L.D.
• Esther Wanjohi Ayub
• Azalea Park Manor LLC (Grace Living Center - Muskogee)
• B. Todd Graybill, PH.D., P.L.L.C.
• Greg Bachman, MD
• Kyle A Baer, PA-C
• Adolphus Fred Bailey, MHP
• Ashlee Elizabeth Bailey

• Assisted Living Facility in Muskogee, OK
• Providers in Muskogee, 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.