Okla Living Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OKLA LIVING OPCO LLC

Doing business as

Glade Avenue Assisted Living

Practice address

2500 N Glade Ave
Bethany, OK 73008-7905

Phone

(405) 495-7100

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Levi Simpson

Title

Managing Member

Phone

(347) 225-1921

Specialties & licenses 1

Addresses

Other names 1

• Glade Avenue Assisted Living Doing business as

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1861203663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N GLADE AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730087905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N GLADE AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730087905",
            "telephone_number": "405-495-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLA LIVING OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-225-1921"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glade Avenue Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Bethany, OK
• Providers in Bethany, 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 Jan 20, 2025; 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.