WC-Angelwood Ops, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WC-ANGELWOOD OPS, LLC

Doing business as

Angelwood Assisted Living and Memory Care

Practice address

3200 Hayes Ave
Clinton, OK 73601-3514

Phone

(580) 323-0990

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Stephen J Levy

Title

Secretary

Phone

(312) 673-4387

Specialties & licenses 1

Addresses

Other names 1

• Angelwood Assisted Living and Memory Care Doing business as

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1790308989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 2400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017800",
            "telephone_number": "312-673-4387",
            "fax_number": "312-673-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HAYES AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013514",
            "telephone_number": "580-323-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WC-ANGELWOOD OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "312-673-4387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelwood Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Austin Ward, RN
• Kenneth Ward
• Stephanie Michelle Warner
• Charlene Amelia Wassana, RN
• Stacy A Watson, RN
• Cheryl Lynn Weber, RN
• Bailee Rene' Weems
• Western Plains Family Medicine
• Western Plains Family Medicine, LLP
• Westview Health Clinic, PLC

• Assisted Living Facility in Clinton, OK
• Providers in Clinton, 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 May 21, 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.