Oakridge Home, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

OAKRIDGE HOME, LLC

Practice address

210 E Choctaw Ave
Sallisaw, OK 74955-4604

Phone

(918) 775-4439

Fax

(918) 775-9242

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Justin McGrew

Title

Business Management

Phone

(918) 775-4439

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi L Haislip, M.D.

  • Family Medicine Physician
  • Wewoka, OK
  • NPI 1336447135
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770536013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550429",
            "telephone_number": "918-775-4439",
            "fax_number": "918-775-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554604",
            "telephone_number": "918-775-4439",
            "fax_number": "918-775-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "BUSINESS MANAGEMENT",
        "authorized_official_telephone_number": "918-775-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Grove Manor
• Oak View Health Services
• Oak View Health Services
• Oak View Health Services
• Oak View Health Services
• Danya Oberste
• Oklahoma Nursing Homes, Inc.
• Okmulgee Terrace, LLC
• Jessica Oliver
• Melinda Oneal

• Intellectual Disabilities Intermediate Care Facility in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Intellectual Disabilities 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.