Active NPI
Bryant Healthcare LLC
- Skilled Nursing Facility
- Edmond, OK
National Provider Identifier
1902054059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRYANT HEALTHCARE LLC
- Practice address
- 1100 E 9TH St
Edmond, OK 73034-5705 - Phone
- (405) 341-5617
- Fax
- (405) 341-1792
- NPI assigned
- Sep 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raj K. Narula
- Title
- Direct Owner
- Phone
- (405) 737-2106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1100 E 9TH St
Edmond, OK 73034-5705
Mailing address
1380 S Douglas Blvd
Midwest City, OK 73130-5215
Phone (405) 737-2106
Other names 1
- Care Living Center of Edmond
National Provider Directory
National Provider DirectoryLocations
1380 S Douglas Blvd
Midwest City, OK 73130
Phone (405) 737-0881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1902054059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 S DOUGLAS BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305215",
"telephone_number": "405-737-2106",
"fax_number": "405-737-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 9TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345705",
"telephone_number": "405-341-5617",
"fax_number": "405-341-1792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYANT HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "NARULA",
"authorized_official_first_name": "RAJ",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "405-737-2106"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Living Center of Edmond",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.