Cearu, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH7203-7203 Issued in OK

Legal business name

CEARU, LLC

Practice address

8720 S. 101St Ave
Tulsa, OK 74133

Phone

(918) 965-0101

Fax

(918) 515-4883

NPI assigned

Apr 18, 2007

Last updated

Feb 18, 2021By 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

Mr. Scott D. Pilgrim

Title

Managing Member

Phone

(918) 366-4492

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Joseph Michael Moore, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1104853142
  NPD (past)
• Ryan J Reynolds, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1114459278
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1891911715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830990",
            "telephone_number": "405-285-8166",
            "fax_number": "405-563-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 S. 101ST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-965-0101",
            "fax_number": "918-515-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEARU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "PILGRIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-366-4492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH7203-7203",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7203-7203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CBH Inc (Riverwell)
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• Cbosm Inc
• CDHC, PLLC
• Claudia E Cea, MD
• Danyel Leann Ceasar
• Cedar Ridge Clinic,P.C.
• Cedar Tree Counseling of Oklahoma
• Karamba J Ceesay, M.D.
• Mariama Camara Ceesay

• 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 Feb 18, 2021; 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.