Beacon Ridge Nursing Home

LBN: City Of Sapulpa
Beacon Ridge Nursing Home is an health care organization with primary practice located at 102 E Line Ave , Sapulpa OK 74066-2858. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. City Of Sapulpa can be contacted via phone (918) 216-1811, or through Bush, Bill via phone (405) 285-8166.

Contact Information

Primary practice address
102 E Line Ave Sapulpa OK 74066-2858
Phone: (918) 216-1811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bush, Bill
Phone: (405) 285-8166

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1902 Oklahoma

Profile Details

NPI number 1609394519
LBN Legal business name City Of Sapulpa
DBA Doing business as Beacon Ridge Nursing Home
Authorized official Bush, Bill
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2017
Last updated Aug 31st, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609394519 NPPES
Oklahoma Other NH1902 LICENSE

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