St Simeons Episcopal Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

CC7205-7205 Issued in OK

Legal business name

ST SIMEONS EPISCOPAL HOME INC

Practice address

3701 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6450

Phone

(918) 794-1900

Fax

(918) 425-6368

NPI assigned

Mar 6, 2012

Last updated

Dec 20, 2013By 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

Ms. Lindsay Hurley Fick

Title

President/Ceo

Phone

(918) 794-1901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871867010. Details of each certification follow.

• CCN 375554 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375554

Legal name

ST SIMEONS EPISCOPAL HOME, INC

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jun 29, 2013

Last certification

Jan 24, 2025

Beds

109

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Dec 27, 1993 in OK

Enrollment address

3701 N Martin Luther King Jr Blvd
Tulsa, OK 74106-1599

Nursing home name

SAINT SIMEONS EPISCOPAL HOME

Listed as

Saint Simeons Episcopal HomeCCN 375554 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

Non profit - Church related

Certified

Jun 29, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10974.1 residents per day on average

Penalties (3 years)

1Fines totaling $4,017

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas C Luiskutty, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1447238654
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Thomas C Luiskutty, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1447238654

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1871867010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066450",
            "telephone_number": "918-794-1900",
            "fax_number": "918-425-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066450",
            "telephone_number": "918-794-1900",
            "fax_number": "918-425-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST SIMEONS EPISCOPAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "FICK",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "HURLEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "918-794-1901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "CC7205-7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.