QC Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

QC NURSING, LLC

Doing business as

Quail Creek Nursing and Rehabilitation Center

Practice address

13500 Brandon PL
Oklahoma City, OK 73142-4312

Phone

(405) 720-0010

Fax

(405) 720-1397

NPI assigned

Aug 8, 2012

Last updated

Aug 8, 2012By 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

Boyd P Gentry

Title

President & Ceo

Phone

(678) 869-5118

Specialties & licenses 1

Addresses

Other names 1

• Quail Creek Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1841547965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 BRANDON PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424312",
            "telephone_number": "405-720-0010",
            "fax_number": "405-720-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 BRANDON PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424312",
            "telephone_number": "405-720-0010",
            "fax_number": "405-720-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "678-869-5118"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Creek Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.