South Park Care And Rehabilitation Center
LBN: Peak Medical Oklahoma No. 4, Inc.
South Park Care And Rehabilitation Center is an health care organization with primary practice located at 5725 S Ross Ave , Oklahoma City OK 73119-5650. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Peak Medical Oklahoma No. 4, Inc. can be contacted via phone (405) 685-4791, or through Mathies, William A. via phone (505) 821-3355.
Contact Information
Primary practice address
5725 S Ross Ave
Oklahoma City OK 73119-5650
Phone: (405) 685-4791
Fax: (405) 685-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | NH55325532 | Oklahoma |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH55325532 | Oklahoma |
Profile Details
| NPI number | 1356396048 |
|---|---|
| LBN Legal business name | Peak Medical Oklahoma No. 4, Inc. |
| DBA Doing business as | South Park Care And Rehabilitation Center |
| Authorized official | Mathies, William A. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 28th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356396048 | NPPES |
| Oklahoma | MEDICAID | 100779070A |
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