Skyline Heights Operating Co LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH72267226 Issued in OK

Legal business name

SKYLINE HEIGHTS OPERATING CO LLC

Practice address

6202 E 61St St
Tulsa, OK 74136-2119

Phone

(918) 494-8820

Fax

(918) 494-8837

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert Daniel Vaughan

Title

Ceo

Phone

(770) 255-1810

Specialties & licenses 1

Addresses

Other names 1

• Maple Wood Care Center Doing business as

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831172857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NORCROSS ST",
            "address_2": "STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753810",
            "telephone_number": "770-255-1810",
            "fax_number": "770-255-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 E 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741362119",
            "telephone_number": "918-494-8820",
            "fax_number": "918-494-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE HEIGHTS OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-255-1810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH72267226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Wood Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ciara Skipper, PTA
• Tanya Jolene Skotarek Tuffour, MS, LADC
• Kelly Skrdle
• Robert Marion Skuy, MSW
• Sky Foundation Inc
• Skyline Heights Operating Co LLC in Receivership
• Skyview Family Dental
• Sheila Slack
• Kristien Slackter
• Roger Keith Slagle

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Skilled Nursing 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.