Edwards Redeemer Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH5549-5549 Issued in OK

Legal business name

EDWARDS REDEEMER NURSING CENTER, LLC

Practice address

1530 NE Grand Blvd
Oklahoma City, OK 73117-5212

Phone

(405) 424-2273

Fax

(405) 424-2070

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna R Simmons

Title

Office Manager

Phone

(405) 786-2266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851487508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "748800488",
            "telephone_number": "405-786-2266",
            "fax_number": "405-786-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 NE GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731175212",
            "telephone_number": "405-424-2273",
            "fax_number": "405-424-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS REDEEMER NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-786-2266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5549-5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manar Edriss, M.D.
• Barry Nicholas Edson
• Fred Allen Edson Jr.
• Edward K Lorents DDS PLLC
• Edwards Redeemer Healthcare & Rehab
• Edwards Surgical Services, LLC
• Ashley Brooke Edwards, RN, BSN, CNOR, RNFA
• Bailey Catherine Edwards, PA-C
• Bill Edwards, DO
• Billy Ray Edwards Jr., M.ED.

• Skilled Nursing Facility in Oklahoma City, OK
• Providers in Oklahoma City, 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.